#4090 of 11K

D1515

HCPCS Procedure Code

HCPCS code D1515 is the #4,090 most-billed Medicaid procedure code, with $861K in payments across 5K claims from 2018–2024. The national median cost per claim is $190.57.

Total Paid

$861K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$185

National Cost Distribution

How much do providers bill per claim for D1515? Based on 54 providers billing this code nationally.

Median

$190.57

Average

$196.65

Std Dev

$87.16

Max

$412.10

Percentile Distribution (Cost per Claim)

p10

$106.98

p25

$144.46

Median

$190.57

p75

$239.96

p90

$318.33

p95

$349.57

p99

$389.79

50% of providers bill between $144.46 and $239.96 per claim for this code.

90% bill between $106.98 and $318.33.

Top 1% bill above $389.79.

About This Procedure

HCPCS code D1515 was billed by 56 providers across 5K claims, totaling $861K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$190.57

Providers Billing

National Spending

$861K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1515

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1134491194	$146K	$314.45	1.7× median	Above 75th
2	1093062911	$81K	$169.23	0.9× median	Below Median
3	1053442210	$40K	$233.21	1.2× median	Above Median
4	1407993611	$37K	$412.10	2.2× median	Top 1%
5	1992707897	$33K	$311.95	1.6× median	Above 75th
6	1154598712	$31K	$168.00	0.9× median	Below Median
7	1801212303	$30K	$137.07	0.7× median	Below Median
8	1730457326	$27K	$211.42	1.1× median	Above Median
9	1316117104	$27K	$200.58	1.1× median	Above Median
10	1518138320	$27K	$228.49	1.2× median	Above Median
11	1730152182	$25K	$320.00	1.7× median	Top 10%
12	1326489345	$25K	$145.86	0.8× median	Below Median
13	1780849422	$23K	$168.47	0.9× median	Below Median
14	1417298472	$21K	$144.00	0.8× median	Below Median
15	1467430033	$20K	$346.65	1.8× median	Top 10%
16	1457566739	$19K	$122.20	0.6× median	Below Median
17	1801150958	$19K	$137.00	0.7× median	Below Median
18	1962785923	$17K	$254.14	1.3× median	Above 75th
19	1316053721	$17K	$87.79	0.5× median	Below Median
20	1457512188	$13K	$224.68	1.2× median	Above Median

Showing top 20 of 56 providers billing this code

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