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#8019 of 11K

G8511

HCPCS Procedure Code

HCPCS code G8511 is the #8,019 most-billed Medicaid procedure code, with $7K in payments across 82K claims from 2018–2024. The national median cost per claim is $0.28. Costs vary widely — the 90th percentile is $3.60 per claim, 12.9× the median.

Total Paid

$7K

0.00% of all spending

Total Claims

82K

Providers

232

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8511? Based on 20 providers billing this code nationally.

Median

$0.28

Average

$1.95

Std Dev

$4.85

Max

$20.45

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.28
p75
$1.03
p90
$3.60
p95
$10.05
p99
$18.37

50% of providers bill between $0.01 and $1.03 per claim for this code.

90% bill between $0.00 and $3.60.

Top 1% bill above $18.37.

About This Procedure

HCPCS code G8511 was billed by 232 providers across 82K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 69K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.28

Providers Billing

20

National Spending

$7K

Avg/Median Ratio

6.96×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8511

#ProviderTotal Paid
11730502725$2K
21003849621$1K
31710073390$1K
41073997201$974
51770529950$671
61164468336$445
71417059957$160
81114354396$100
91043664766$70
101568400455$29
111518258250$20
121689879280$15
131033256573$5
141659897163$2
151205451606$2
161407243223$1
171134622970$0
181396103156$0
191912093451$0
201003829441$0

Showing top 20 of 232 providers billing this code