W0520
HCPCS Procedure Code
HCPCS code W0520 is the #3,132 most-billed Medicaid procedure code, with $2.4M in payments across 6K claims from 2018–2024. The national median cost per claim is $422.46.
Total Paid
$2.4M
0.00% of all spending
Total Claims
6K
Providers
7
Avg Cost/Claim
$391
National Cost Distribution
How much do providers bill per claim for W0520? Based on 7 providers billing this code nationally.
Median
$422.46
Average
$379.25
Std Dev
$108.00
Max
$452.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $376.08 and $438.98 per claim for this code.
90% bill between $264.56 and $451.90.
Top 1% bill above $452.72.
About This Procedure
HCPCS code W0520 was billed by 7 providers across 6K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$422.46
Providers Billing
7
National Spending
$2.4M
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W0520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770889594 | $1.1M |
| 2 | 1275131005 | $597K |
| 3 | 1932709771 | $448K |
| 4 | 1528198975 | $160K |
| 5 | 1104426352 | $137K |
| 6 | 1427606003 | $5K |
| 7 | 1215442231 | $4K |
Showing top 7 of 7 providers billing this code