#3958 of 11K

L3040

Foot insert, removable, formed to patient foot

Foot insert, removable, formed to patient foot is the #3,958 most-billed Medicaid procedure code, with $978K in payments across 27K claims from 2018–2024. The national median cost per claim is $36.25.

Total Paid

$978K

0.00% of all spending

Total Claims

27K

Providers

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for L3040? Based on 53 providers billing this code nationally.

Median

$36.25

Average

$43.19

Std Dev

$58.14

Max

$442.04

Percentile Distribution (Cost per Claim)

p10

$13.82

p25

$24.48

Median

$36.25

p75

$46.10

p90

$62.16

p95

$67.31

p99

$247.84

50% of providers bill between $24.48 and $46.10 per claim for this code.

90% bill between $13.82 and $62.16.

Top 1% bill above $247.84.

About This Procedure

HCPCS code L3040 (Foot insert, removable, formed to patient foot) was billed by 63 providers across 27K claims, totaling $978K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.25

Providers Billing

National Spending

$978K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3040

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Integra Partners Llc Troy, MI · Orthotic Fitter	$347K	$46.10	1.3× median	Above 75th
2	1669635173	$105K	$28.55	0.8× median	Below Median
3	1912303330	$78K	$40.76	1.1× median	Above Median
4	1508838566	$56K	$42.88	1.2× median	Above Median
5	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$41K	$442.04	12.2× median	Top 1%
6	1144283524	$36K	$36.46	1.0× median	Above Median
7	1578937876	$35K	$23.84	0.7× median	Below Median
8	1295862019	$34K	$39.87	1.1× median	Above Median
9	1730180571	$31K	$29.46	0.8× median	Below Median
10	1992075295	$24K	$17.79	0.5× median	Below Median
11	1578931051	$21K	$67.64	1.9× median	Top 10%
12	1245632686	$20K	$47.12	1.3× median	Above 75th
13	1275519365	$19K	$36.25	1.0× median	Above Median
14	1770127540	$14K	$17.35	0.5× median	Below Median
15	1124755889	$12K	$43.21	1.2× median	Above Median
16	1093772675	$11K	$62.90	1.7× median	Top 10%
17	1518026772	$10K	$37.85	1.0× median	Above Median
18	1538230461	$10K	$51.45	1.4× median	Above 75th
19	1376549154	$8K	$25.76	0.7× median	Below Median
20	1679970529	$8K	$19.99	0.6× median	Below Median

Showing top 20 of 63 providers billing this code

Related Procedures

L3030Foot insert, removable, UCB-type, Berkeley shell, each$45.5M L3050Foot insert, removable, formed to patient, Spenco type$778K L3031$128K

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