Q5118
HCPCS Procedure Code
HCPCS code Q5118 is the #1,709 most-billed Medicaid procedure code, with $15.8M in payments across 18K claims from 2018–2024. The national median cost per claim is $722.03. Costs vary widely — the 90th percentile is $1,799.10 per claim, 2.5× the median.
Total Paid
$15.8M
0.00% of all spending
Total Claims
18K
Providers
43
Avg Cost/Claim
$858
National Cost Distribution
How much do providers bill per claim for Q5118? Based on 42 providers billing this code nationally.
Median
$722.03
Average
$996.70
Std Dev
$1,094.96
Max
$6,070.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $233.22 and $1,383.24 per claim for this code.
90% bill between $156.86 and $1,799.10.
Top 1% bill above $4,877.05.
About This Procedure
HCPCS code Q5118 was billed by 43 providers across 18K claims, totaling $15.8M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$722.03
Providers Billing
42
National Spending
$15.8M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5118
| # | Provider | Total Paid |
|---|---|---|
| 1 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $2.8M |
| 2 | 1538157508 | $1.8M |
| 3 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $1.6M |
| 4 | University Of California Irvine Orange, CA · General Acute Care Hospital | $1.0M |
| 5 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $905K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $803K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $737K |
| 8 | 1295023547 | $731K |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $607K |
| 10 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $586K |
| 11 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $450K |
| 12 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $403K |
| 13 | 1477671535 | $382K |
| 14 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $381K |
| 15 | 1902803315 | $377K |
| 16 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $249K |
| 17 | 1326124819 | $245K |
| 18 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $204K |
| 19 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $186K |
| 20 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $166K |
Showing top 20 of 43 providers billing this code