90611
HCPCS Procedure Code
HCPCS code 90611 is the #7,472 most-billed Medicaid procedure code, with $17K in payments across 13K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $7.82 per claim, 782.0× the median.
Total Paid
$17K
0.00% of all spending
Total Claims
13K
Providers
113
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 90611? Based on 42 providers billing this code nationally.
Median
$0.01
Average
$3.61
Std Dev
$11.59
Max
$68.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.83 per claim for this code.
90% bill between $0.00 and $7.82.
Top 1% bill above $52.09.
About This Procedure
HCPCS code 90611 was billed by 113 providers across 13K claims, totaling $17K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
42
National Spending
$17K
Avg/Median Ratio
361.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 90611
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295812386 | $6K |
| 2 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $4K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2K |
| 4 | Mount Sinai Hospital New York, NY · Ambulance | $1K |
| 5 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $887 |
| 7 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $331 |
| 8 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $309 |
| 9 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $252 |
| 10 | 1568684058 | $157 |
| 11 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $56 |
| 12 | 1013924372 | $27 |
| 13 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $26 |
| 14 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $24 |
| 15 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $20 |
| 16 | Family Health Centers Of San Diego Inc San Diego, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $16 |
| 17 | 1063898096 | $15 |
| 18 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $14 |
| 19 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $9 |
| 20 | Community Health Center Inc Middletown, CT · Counselor, Addiction (Substance Use Disorder) | $3 |
Showing top 20 of 113 providers billing this code