L4396
HCPCS Procedure Code
HCPCS code L4396 is the #3,280 most-billed Medicaid procedure code, with $2.0M in payments across 21K claims from 2018–2024. The national median cost per claim is $95.98.
Total Paid
$2.0M
0.00% of all spending
Total Claims
21K
Providers
100
Avg Cost/Claim
$96
National Cost Distribution
How much do providers bill per claim for L4396? Based on 100 providers billing this code nationally.
Median
$95.98
Average
$98.59
Std Dev
$33.91
Max
$201.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $80.56 and $118.67 per claim for this code.
90% bill between $63.91 and $138.13.
Top 1% bill above $168.95.
About This Procedure
HCPCS code L4396 was billed by 100 providers across 21K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.98
Providers Billing
100
National Spending
$2.0M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for L4396
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $404K |
| 2 | 1538228440 | $148K |
| 3 | 1871538207 | $111K |
| 4 | 1669635173 | $93K |
| 5 | 1467757591 | $83K |
| 6 | 1164586103 | $77K |
| 7 | 1649212572 | $76K |
| 8 | 1639156169 | $75K |
| 9 | 1922392729 | $54K |
| 10 | 1508195066 | $53K |
| 11 | 1962683235 | $50K |
| 12 | 1154352391 | $48K |
| 13 | 1902229693 | $46K |
| 14 | 1952749293 | $45K |
| 15 | 1790098218 | $44K |
| 16 | 1831292804 | $32K |
| 17 | 1629089016 | $31K |
| 18 | 1730130329 | $30K |
| 19 | 1083796726 | $30K |
| 20 | 1861849077 | $27K |
Showing top 20 of 100 providers billing this code