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#1454 of 11K

L1820

HCPCS Procedure Code

HCPCS code L1820 is the #1,454 most-billed Medicaid procedure code, with $22.7M in payments across 314K claims from 2018–2024. The national median cost per claim is $73.16.

Total Paid

$22.7M

0.00% of all spending

Total Claims

314K

Providers

375

Avg Cost/Claim

$72

National Cost Distribution

How much do providers bill per claim for L1820? Based on 364 providers billing this code nationally.

Median

$73.16

Average

$72.75

Std Dev

$27.80

Max

$156.95

Percentile Distribution (Cost per Claim)

p10
$37.71
p25
$54.45
Median
$73.16
p75
$90.62
p90
$108.76
p95
$117.25
p99
$140.81

50% of providers bill between $54.45 and $90.62 per claim for this code.

90% bill between $37.71 and $108.76.

Top 1% bill above $140.81.

About This Procedure

HCPCS code L1820 was billed by 375 providers across 314K claims, totaling $22.7M in Medicaid payments from 2018–2024. This code was used for 262K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.16

Providers Billing

364

National Spending

$22.7M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L1820

#ProviderTotal Paid
1Djo, Llc

Carlsbad, CA · Prosthetic/Orthotic Supplier

$2.5M
2Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.6M
31669635173$1.3M
41326048893$1.3M
51790747244$1.2M
61306836465$753K
71861573685$679K
81447553144$532K
91285082610$472K
101891787594$464K
111700119559$408K
121710900857$395K
131750582920$343K
141275784001$330K
151699850073$321K
161457354219$297K
171487646360$297K
181851337604$246K
191164586103$244K
201669417531$239K

Showing top 20 of 375 providers billing this code