L1831
HCPCS Procedure Code
HCPCS code L1831 is the #6,037 most-billed Medicaid procedure code, with $103K in payments across 5K claims from 2018–2024. The national median cost per claim is $43.03. Costs vary widely — the 90th percentile is $139.45 per claim, 3.2× the median.
Total Paid
$103K
0.00% of all spending
Total Claims
5K
Providers
16
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for L1831? Based on 16 providers billing this code nationally.
Median
$43.03
Average
$66.90
Std Dev
$54.91
Max
$140.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.23 and $121.73 per claim for this code.
90% bill between $8.14 and $139.45.
Top 1% bill above $140.57.
About This Procedure
HCPCS code L1831 was billed by 16 providers across 5K claims, totaling $103K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.03
Providers Billing
16
National Spending
$103K
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for L1831
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881790004 | $29K |
| 2 | 1386643856 | $19K |
| 3 | 1154493203 | $9K |
| 4 | Integra Partners Llc Troy, MI · Orthotic Fitter | $8K |
| 5 | 1063710986 | $7K |
| 6 | 1841291200 | $5K |
| 7 | 1003884867 | $4K |
| 8 | 1790787018 | $4K |
| 9 | 1669635173 | $4K |
| 10 | 1780728550 | $3K |
| 11 | 1275170938 | $3K |
| 12 | 1154579597 | $3K |
| 13 | 1790707206 | $2K |
| 14 | 1629070149 | $891 |
| 15 | 1346577160 | $795 |
| 16 | 1427120351 | $711 |
Showing top 16 of 16 providers billing this code