90911
HCPCS Procedure Code
HCPCS code 90911 is the #6,756 most-billed Medicaid procedure code, with $44K in payments across 2K claims from 2018–2024. The national median cost per claim is $38.65. Costs vary widely — the 90th percentile is $85.10 per claim, 2.2× the median.
Total Paid
$44K
0.00% of all spending
Total Claims
2K
Providers
11
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 90911? Based on 6 providers billing this code nationally.
Median
$38.65
Average
$45.60
Std Dev
$36.14
Max
$102.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.54 and $63.68 per claim for this code.
90% bill between $13.06 and $85.10.
Top 1% bill above $100.78.
About This Procedure
HCPCS code 90911 was billed by 11 providers across 2K claims, totaling $44K in Medicaid payments from 2018–2024. This code was used for 726 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.65
Providers Billing
6
National Spending
$44K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90911
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $26K |
| 2 | 1740540947 | $11K |
| 3 | 1952397051 | $3K |
| 4 | 1255541520 | $2K |
| 5 | 1336245828 | $1K |
| 6 | 1578970539 | $484 |
| 7 | 1669499414 | $0 |
| 8 | 1063419943 | $0 |
| 9 | 1447766670 | $0 |
| 10 | 1235661901 | $0 |
| 11 | 1255426482 | $0 |
Showing top 11 of 11 providers billing this code