W0530
HCPCS Procedure Code
HCPCS code W0530 is the #2,410 most-billed Medicaid procedure code, with $6.0M in payments across 15K claims from 2018–2024. The national median cost per claim is $425.64.
Total Paid
$6.0M
0.00% of all spending
Total Claims
15K
Providers
7
Avg Cost/Claim
$396
National Cost Distribution
How much do providers bill per claim for W0530? Based on 7 providers billing this code nationally.
Median
$425.64
Average
$410.14
Std Dev
$38.59
Max
$450.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $385.85 and $438.70 per claim for this code.
90% bill between $366.71 and $448.38.
Top 1% bill above $449.87.
About This Procedure
HCPCS code W0530 was billed by 7 providers across 15K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$425.64
Providers Billing
7
National Spending
$6.0M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W0530
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770889594 | $2.3M |
| 2 | 1275131005 | $1.2M |
| 3 | 1932709771 | $966K |
| 4 | 1528198975 | $673K |
| 5 | 1104426352 | $482K |
| 6 | 1215442231 | $270K |
| 7 | 1427606003 | $60K |
Showing top 7 of 7 providers billing this code