Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1021 of 11K

20611

Aspiration or injection of intermediate joint or bursa

Aspiration or injection of intermediate joint or bursa is the #1,021 most-billed Medicaid procedure code, with $47.5M in payments across 860K claims from 2018–2024. The national median cost per claim is $42.51. Costs vary widely — the 90th percentile is $104.48 per claim, 2.5× the median.

Total Paid

$47.5M

0.00% of all spending

Total Claims

860K

Providers

1K

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for 20611? Based on 1K providers billing this code nationally.

Median

$42.51

Average

$61.01

Std Dev

$78.64

Max

$952.92

Percentile Distribution (Cost per Claim)

p10
$10.49
p25
$26.04
Median
$42.51
p75
$65.15
p90
$104.48
p95
$191.36
p99
$412.71

50% of providers bill between $26.04 and $65.15 per claim for this code.

90% bill between $10.49 and $104.48.

Top 1% bill above $412.71.

About This Procedure

HCPCS code 20611 (Aspiration or injection of intermediate joint or bursa) was billed by 1K providers across 860K claims, totaling $47.5M in Medicaid payments from 2018–2024. This code was used for 582K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.51

Providers Billing

1K

National Spending

$47.5M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 20611

#ProviderTotal Paid
1Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$1.4M
2Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.2M
31285798033$1.2M
4Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$1.1M
5Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$1.1M
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.0M
71437146743$993K
81871531426$892K
91245340231$774K
101285625996$740K
111073827101$729K
121861597072$667K
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$568K
141609888593$548K
15Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$505K
161013995133$483K
171639330343$461K
18The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$437K
191457670226$431K
201346244126$399K

Showing top 20 of 1K providers billing this code