D0191
HCPCS Procedure Code
HCPCS code D0191 is the #1,596 most-billed Medicaid procedure code, with $18.2M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $11.16.
Total Paid
$18.2M
0.00% of all spending
Total Claims
2.1M
Providers
1K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for D0191? Based on 787 providers billing this code nationally.
Median
$11.16
Average
$14.39
Std Dev
$30.78
Max
$503.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.60 and $15.11 per claim for this code.
90% bill between $1.10 and $21.70.
Top 1% bill above $104.69.
About This Procedure
HCPCS code D0191 was billed by 1K providers across 2.1M claims, totaling $18.2M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.16
Providers Billing
787
National Spending
$18.2M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0191
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073580890 | $752K |
| 2 | 1417084708 | $616K |
| 3 | 1477611234 | $602K |
| 4 | 1780105759 | $522K |
| 5 | 1578565347 | $505K |
| 6 | 1578649638 | $460K |
| 7 | 1285800052 | $418K |
| 8 | 1205285699 | $343K |
| 9 | 1326138314 | $340K |
| 10 | 1871088633 | $320K |
| 11 | 1821386780 | $273K |
| 12 | 1932357126 | $270K |
| 13 | 1265573448 | $250K |
| 14 | 1780096792 | $194K |
| 15 | 1619904836 | $184K |
| 16 | 1629078274 | $179K |
| 17 | 1871656082 | $178K |
| 18 | 1124619556 | $175K |
| 19 | 1679841811 | $174K |
| 20 | 1598760795 | $173K |
Showing top 20 of 1K providers billing this code