#3676 of 11K

T2011

HCPCS Procedure Code

HCPCS code T2011 is the #3,676 most-billed Medicaid procedure code, with $1.3M in payments across 8K claims from 2018–2024. The national median cost per claim is $122.73. Costs vary widely — the 90th percentile is $909.26 per claim, 7.4× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$168

National Cost Distribution

How much do providers bill per claim for T2011? Based on 14 providers billing this code nationally.

Median

$122.73

Average

$304.08

Std Dev

$348.43

Max

$1,067.20

Percentile Distribution (Cost per Claim)

p10

$76.83

p25

$108.29

Median

$122.73

p75

$300.78

p90

$909.26

p95

$1,066.37

p99

$1,067.03

50% of providers bill between $108.29 and $300.78 per claim for this code.

90% bill between $76.83 and $909.26.

Top 1% bill above $1,067.03.

About This Procedure

HCPCS code T2011 was billed by 25 providers across 8K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$122.73

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

2.48×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2011

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Reliance Community Care Partners Grand Rapids, MI · Case Management	$459K	$1,065.93	8.7× median	Top 10%
2	1477862142	$344K	$543.71	4.4× median	Above 75th
3	1356475412	$163K	$118.64	1.0× median	Below Median
4	1760828933	$142K	$41.39	0.3× median	Below Median
5	A000027200	$74K	$303.89	2.5× median	Above 75th
6	1154403467	$45K	$1,067.20	8.7× median	Top 1%
7	1881636355	$30K	$110.19	0.9× median	Below Median
8	1811055957	$29K	$291.46	2.4× median	Above Median
9	1174748750	$19K	$107.65	0.9× median	Below Median
10	1043544471	$17K	$116.50	0.9× median	Below Median
11	A000017500	$10K	$208.58	1.7× median	Above Median
12	1427127620	$7K	$75.74	0.6× median	Below Median
13	1740604057	$6K	$126.83	1.0× median	Above Median
14	A000064700	$2K	$79.38	0.6× median	Below Median
15	1033108766	$0	$0.00	0.0× median	Below Median
16	1154368512	$0	$0.00	0.0× median	Below Median
17	1306299938	$0	$0.00	0.0× median	Below Median
18	1306897004	$0	$0.00	0.0× median	Below Median
19	1740232115	$0	$0.00	0.0× median	Below Median
20	Centerstone Of Indiana, Inc. Bloomington, IN · Community/Behavioral Health	$0	$0.00	0.0× median	Below Median

Showing top 20 of 25 providers billing this code

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