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#2206 of 11K

11982

HCPCS Procedure Code

HCPCS code 11982 is the #2,206 most-billed Medicaid procedure code, with $7.9M in payments across 57K claims from 2018–2024. The national median cost per claim is $90.51. Costs vary widely — the 90th percentile is $238.26 per claim, 2.6× the median.

Total Paid

$7.9M

0.00% of all spending

Total Claims

57K

Providers

251

Avg Cost/Claim

$138

National Cost Distribution

How much do providers bill per claim for 11982? Based on 236 providers billing this code nationally.

Median

$90.51

Average

$115.55

Std Dev

$100.79

Max

$924.77

Percentile Distribution (Cost per Claim)

p10
$25.42
p25
$59.19
Median
$90.51
p75
$128.94
p90
$238.26
p95
$290.67
p99
$412.37

50% of providers bill between $59.19 and $128.94 per claim for this code.

90% bill between $25.42 and $238.26.

Top 1% bill above $412.37.

About This Procedure

HCPCS code 11982 was billed by 251 providers across 57K claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.51

Providers Billing

236

National Spending

$7.9M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 11982

#ProviderTotal Paid
11417959701$2.0M
2The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$467K
31306909957$380K
41629057146$279K
51821095779$277K
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$244K
7Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$241K
81366525370$229K
9Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$224K
10Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$196K
11The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$148K
12Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$127K
13Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$125K
14Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$123K
151649355561$112K
16The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$111K
17New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$103K
181336174325$102K
191407301211$95K
20Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$92K

Showing top 20 of 251 providers billing this code