#2736 of 11K

L8501

HCPCS Procedure Code

HCPCS code L8501 is the #2,736 most-billed Medicaid procedure code, with $3.9M in payments across 49K claims from 2018–2024. The national median cost per claim is $64.66.

Total Paid

$3.9M

0.00% of all spending

Total Claims

49K

Providers

Avg Cost/Claim

$79

National Cost Distribution

How much do providers bill per claim for L8501? Based on 69 providers billing this code nationally.

Median

$64.66

Average

$69.50

Std Dev

$27.98

Max

$155.86

Percentile Distribution (Cost per Claim)

p10

$40.91

p25

$51.38

Median

$64.66

p75

$81.98

p90

$105.58

p95

$120.19

p99

$147.89

50% of providers bill between $51.38 and $81.98 per claim for this code.

90% bill between $40.91 and $105.58.

Top 1% bill above $147.89.

About This Procedure

HCPCS code L8501 was billed by 70 providers across 49K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.66

Providers Billing

National Spending

$3.9M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L8501

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$569K	$79.79	1.2× median	Above Median
2	1871738153	$419K	$120.47	1.9× median	Top 10%
3	1922103142	$297K	$92.64	1.4× median	Above 75th
4	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$239K	$155.86	2.4× median	Top 1%
5	1093761611	$231K	$127.38	2.0× median	Top 10%
6	1073692794	$187K	$94.44	1.5× median	Above 75th
7	1912923301	$178K	$104.91	1.6× median	Above 75th
8	1861480048	$176K	$84.05	1.3× median	Above 75th
9	1083615991	$166K	$73.07	1.1× median	Above Median
10	1073680799	$154K	$66.06	1.0× median	Above Median
11	1275612673	$149K	$78.08	1.2× median	Above Median
12	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$113K	$51.05	0.8× median	Below Median
13	1174573513	$93K	$52.79	0.8× median	Below Median
14	The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies	$92K	$53.77	0.8× median	Below Median
15	1619909496	$70K	$107.75	1.7× median	Top 10%
16	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$65K	$67.92	1.1× median	Above Median
17	1902098965	$62K	$69.55	1.1× median	Above Median
18	1861466179	$58K	$51.38	0.8× median	Below Median
19	1255632394	$51K	$144.14	2.2× median	Top 10%
20	1326140138	$45K	$105.04	1.6× median	Above 75th

Showing top 20 of 70 providers billing this code

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