1157F
HCPCS Procedure Code
HCPCS code 1157F is the #7,052 most-billed Medicaid procedure code, with $30K in payments across 735K claims from 2018–2024. The national median cost per claim is $0.34. Costs vary widely — the 90th percentile is $2.50 per claim, 7.4× the median.
Total Paid
$30K
0.00% of all spending
Total Claims
735K
Providers
984
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1157F? Based on 220 providers billing this code nationally.
Median
$0.34
Average
$0.96
Std Dev
$1.32
Max
$10.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.01 and $1.71 per claim for this code.
90% bill between $0.00 and $2.50.
Top 1% bill above $3.92.
About This Procedure
HCPCS code 1157F was billed by 984 providers across 735K claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 625K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.34
Providers Billing
220
National Spending
$30K
Avg/Median Ratio
2.82×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1157F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053679787 | $5K |
| 2 | 1679672562 | $4K |
| 3 | 1932214657 | $3K |
| 4 | 1245385095 | $2K |
| 5 | 1477754539 | $1K |
| 6 | 1134419914 | $950 |
| 7 | 1336152347 | $903 |
| 8 | 1710959457 | $900 |
| 9 | 1861758831 | $761 |
| 10 | 1548393127 | $624 |
| 11 | 1215981618 | $448 |
| 12 | 1659478972 | $428 |
| 13 | 1215117759 | $350 |
| 14 | 1194959122 | $316 |
| 15 | 1932585270 | $299 |
| 16 | The Brookdale Hospital Medical Center Brooklyn, NY · General Acute Care Hospital | $256 |
| 17 | 1710261284 | $240 |
| 18 | 1083691208 | $228 |
| 19 | 1124259379 | $228 |
| 20 | 1679734552 | $228 |
Showing top 20 of 984 providers billing this code