11719
HCPCS Procedure Code
HCPCS code 11719 is the #2,774 most-billed Medicaid procedure code, with $3.7M in payments across 774K claims from 2018–2024. The national median cost per claim is $1.95. Costs vary widely — the 90th percentile is $10.14 per claim, 5.2× the median.
Total Paid
$3.7M
0.00% of all spending
Total Claims
774K
Providers
949
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 11719? Based on 853 providers billing this code nationally.
Median
$1.95
Average
$5.46
Std Dev
$15.35
Max
$224.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.97 and $4.17 per claim for this code.
90% bill between $0.36 and $10.14.
Top 1% bill above $83.76.
About This Procedure
HCPCS code 11719 was billed by 949 providers across 774K claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 665K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.95
Providers Billing
853
National Spending
$3.7M
Avg/Median Ratio
2.80×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 11719
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760436190 | $491K |
| 2 | 1346337011 | $225K |
| 3 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $170K |
| 4 | 1356390918 | $126K |
| 5 | 1598361891 | $118K |
| 6 | 1639770183 | $103K |
| 7 | 1689754046 | $96K |
| 8 | 1609985571 | $84K |
| 9 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $74K |
| 10 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $68K |
| 11 | 1184220485 | $67K |
| 12 | 1770521270 | $66K |
| 13 | 1245780303 | $63K |
| 14 | 1972982007 | $54K |
| 15 | 1487879938 | $53K |
| 16 | 1770514101 | $46K |
| 17 | 1801156815 | $38K |
| 18 | 1548685258 | $38K |
| 19 | 1689613598 | $38K |
| 20 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $35K |
Showing top 20 of 949 providers billing this code