Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1972 of 11K

L3807

HCPCS Procedure Code

HCPCS code L3807 is the #1,972 most-billed Medicaid procedure code, with $10.7M in payments across 96K claims from 2018–2024. The national median cost per claim is $120.29.

Total Paid

$10.7M

0.00% of all spending

Total Claims

96K

Providers

165

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for L3807? Based on 160 providers billing this code nationally.

Median

$120.29

Average

$109.43

Std Dev

$58.10

Max

$430.57

Percentile Distribution (Cost per Claim)

p10
$25.54
p25
$70.82
Median
$120.29
p75
$139.47
p90
$161.87
p95
$189.94
p99
$229.21

50% of providers bill between $70.82 and $139.47 per claim for this code.

90% bill between $25.54 and $161.87.

Top 1% bill above $229.21.

About This Procedure

HCPCS code L3807 was billed by 165 providers across 96K claims, totaling $10.7M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$120.29

Providers Billing

160

National Spending

$10.7M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L3807

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$2.1M
21790747244$1.1M
31669635173$1.1M
41700119559$604K
51376627224$517K
61912909086$387K
71346248341$364K
81003829342$260K
91114987344$216K
101265526396$188K
111790707206$179K
121003885799$173K
131699850073$172K
141578570081$166K
151043251341$153K
161821418187$144K
171427179753$138K
181275784001$134K
191306849229$133K
201366842130$126K

Showing top 20 of 165 providers billing this code