L1971
HCPCS Procedure Code
HCPCS code L1971 is the #1,740 most-billed Medicaid procedure code, with $15.0M in payments across 73K claims from 2018–2024. The national median cost per claim is $81.09. Costs vary widely — the 90th percentile is $295.56 per claim, 3.6× the median.
Total Paid
$15.0M
0.00% of all spending
Total Claims
73K
Providers
122
Avg Cost/Claim
$205
National Cost Distribution
How much do providers bill per claim for L1971? Based on 110 providers billing this code nationally.
Median
$81.09
Average
$134.01
Std Dev
$133.12
Max
$620.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.32 and $226.09 per claim for this code.
90% bill between $7.27 and $295.56.
Top 1% bill above $555.08.
About This Procedure
HCPCS code L1971 was billed by 122 providers across 73K claims, totaling $15.0M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.09
Providers Billing
110
National Spending
$15.0M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for L1971
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $6.7M |
| 2 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $3.3M |
| 3 | 1669635173 | $1.9M |
| 4 | 1356472039 | $582K |
| 5 | 1396821583 | $402K |
| 6 | 1770096372 | $387K |
| 7 | 1790873503 | $168K |
| 8 | 1629476510 | $166K |
| 9 | 1275170938 | $144K |
| 10 | 1295042711 | $110K |
| 11 | 1841291200 | $86K |
| 12 | 1225023625 | $71K |
| 13 | 1508252032 | $71K |
| 14 | 1396778429 | $70K |
| 15 | 1295862019 | $66K |
| 16 | 1790093144 | $54K |
| 17 | 1215472378 | $50K |
| 18 | 1598043077 | $45K |
| 19 | 1629082060 | $44K |
| 20 | 1548362411 | $43K |
Showing top 20 of 122 providers billing this code