Q5115
HCPCS Procedure Code
HCPCS code Q5115 is the #1,996 most-billed Medicaid procedure code, with $10.4M in payments across 6K claims from 2018–2024. The national median cost per claim is $2,020.24.
Total Paid
$10.4M
0.00% of all spending
Total Claims
6K
Providers
25
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for Q5115? Based on 22 providers billing this code nationally.
Median
$2,020.24
Average
$2,263.10
Std Dev
$1,088.76
Max
$4,745.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,729.99 and $2,700.35 per claim for this code.
90% bill between $911.46 and $3,537.74.
Top 1% bill above $4,735.70.
About This Procedure
HCPCS code Q5115 was billed by 25 providers across 6K claims, totaling $10.4M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,020.24
Providers Billing
22
National Spending
$10.4M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5115
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $2.1M |
| 2 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 3 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $1.3M |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $973K |
| 5 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $762K |
| 6 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $634K |
| 7 | City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator | $550K |
| 8 | Mount Sinai Hospital New York, NY · Ambulance | $439K |
| 9 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $439K |
| 10 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $404K |
| 11 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $203K |
| 12 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $169K |
| 13 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $151K |
| 14 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $132K |
| 15 | University Of Washington Seattle, WA · Clinic/Center, Dental | $112K |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $98K |
| 17 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $73K |
| 18 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $72K |
| 19 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $65K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $61K |
Showing top 20 of 25 providers billing this code