1159F
HCPCS Procedure Code
HCPCS code 1159F is the #2,866 most-billed Medicaid procedure code, with $3.3M in payments across 37.5M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.95 per claim, 95.0× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
37.5M
Providers
11K
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1159F? Based on 2K providers billing this code nationally.
Median
$0.01
Average
$0.83
Std Dev
$6.33
Max
$160.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.13 per claim for this code.
90% bill between $0.00 and $0.95.
Top 1% bill above $14.98.
About This Procedure
HCPCS code 1159F was billed by 11K providers across 37.5M claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 31.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
2K
National Spending
$3.3M
Avg/Median Ratio
83.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1159F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013042480 | $307K |
| 2 | 1700886322 | $297K |
| 3 | 1407243223 | $237K |
| 4 | Marillac Clinic Inc. Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC) | $124K |
| 5 | Niagara Falls Memorial Medical Center Niagara Falls, NY · General Acute Care Hospital | $113K |
| 6 | 1902977705 | $98K |
| 7 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $91K |
| 8 | 1770697278 | $84K |
| 9 | 1679672562 | $51K |
| 10 | 1104275882 | $47K |
| 11 | 1417076829 | $47K |
| 12 | 1063969665 | $43K |
| 13 | 1609046267 | $42K |
| 14 | 1518138916 | $41K |
| 15 | 1891775128 | $37K |
| 16 | 1548236623 | $37K |
| 17 | 1386191989 | $36K |
| 18 | 1538441761 | $36K |
| 19 | 1235259607 | $35K |
| 20 | 1235180480 | $35K |
Showing top 20 of 11K providers billing this code