Q5117
HCPCS Procedure Code
HCPCS code Q5117 is the #1,453 most-billed Medicaid procedure code, with $22.8M in payments across 17K claims from 2018–2024. The national median cost per claim is $1,034.41. Costs vary widely — the 90th percentile is $2,789.58 per claim, 2.7× the median.
Total Paid
$22.8M
0.00% of all spending
Total Claims
17K
Providers
33
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for Q5117? Based on 32 providers billing this code nationally.
Median
$1,034.41
Average
$1,451.93
Std Dev
$1,049.20
Max
$4,389.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $792.68 and $2,287.79 per claim for this code.
90% bill between $367.78 and $2,789.58.
Top 1% bill above $3,982.95.
About This Procedure
HCPCS code Q5117 was billed by 33 providers across 17K claims, totaling $22.8M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,034.41
Providers Billing
32
National Spending
$22.8M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5117
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $3.6M |
| 2 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $2.9M |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $2.7M |
| 4 | 1528018389 | $1.9M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.8M |
| 6 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.6M |
| 7 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $1.1M |
| 8 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $895K |
| 9 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $777K |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $770K |
| 11 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $716K |
| 12 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $703K |
| 13 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $495K |
| 14 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $437K |
| 15 | 1871886366 | $355K |
| 16 | 1164493847 | $333K |
| 17 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $259K |
| 18 | 1316900277 | $198K |
| 19 | 1770690695 | $192K |
| 20 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $188K |
Showing top 20 of 33 providers billing this code