W1011
HCPCS Procedure Code
HCPCS code W1011 is the #4,539 most-billed Medicaid procedure code, with $526K in payments across 6K claims from 2018–2024. The national median cost per claim is $53.96. Costs vary widely — the 90th percentile is $152.93 per claim, 2.8× the median.
Total Paid
$526K
0.00% of all spending
Total Claims
6K
Providers
14
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for W1011? Based on 14 providers billing this code nationally.
Median
$53.96
Average
$80.17
Std Dev
$55.42
Max
$184.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.59 and $127.98 per claim for this code.
90% bill between $25.16 and $152.93.
Top 1% bill above $180.84.
About This Procedure
HCPCS code W1011 was billed by 14 providers across 6K claims, totaling $526K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.96
Providers Billing
14
National Spending
$526K
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W1011
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1912121633 | $365K |
| 2 | 1003937566 | $51K |
| 3 | 1730220260 | $40K |
| 4 | 1033635479 | $23K |
| 5 | Service Access And Management Inc Reading, PA · Community/Behavioral Health | $14K |
| 6 | 1386199768 | $8K |
| 7 | 1760919369 | $6K |
| 8 | 1538425053 | $5K |
| 9 | 1326384090 | $4K |
| 10 | 1659828887 | $3K |
| 11 | 1699234112 | $2K |
| 12 | 1871911776 | $2K |
| 13 | 1609110543 | $2K |
| 14 | 1013432012 | $1K |
Showing top 14 of 14 providers billing this code