Q5119
HCPCS Procedure Code
HCPCS code Q5119 is the #2,088 most-billed Medicaid procedure code, with $9.2M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,296.80.
Total Paid
$9.2M
0.00% of all spending
Total Claims
9K
Providers
33
Avg Cost/Claim
$975
National Cost Distribution
How much do providers bill per claim for Q5119? Based on 30 providers billing this code nationally.
Median
$1,296.80
Average
$1,428.71
Std Dev
$972.58
Max
$4,596.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $856.29 and $1,797.34 per claim for this code.
90% bill between $361.69 and $2,543.61.
Top 1% bill above $4,152.84.
About This Procedure
HCPCS code Q5119 was billed by 33 providers across 9K claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,296.80
Providers Billing
30
National Spending
$9.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5119
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.7M |
| 2 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $986K |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $983K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $968K |
| 5 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $881K |
| 6 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $769K |
| 7 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $715K |
| 8 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $359K |
| 9 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $271K |
| 10 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $222K |
| 11 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $176K |
| 12 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $153K |
| 13 | 1780653618 | $138K |
| 14 | 1528018389 | $135K |
| 15 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $119K |
| 16 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $86K |
| 17 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $84K |
| 18 | 1679184535 | $72K |
| 19 | 1639172372 | $52K |
| 20 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $47K |
Showing top 20 of 33 providers billing this code