Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3794 of 11K

W1759

HCPCS Procedure Code

HCPCS code W1759 is the #3,794 most-billed Medicaid procedure code, with $1.2M in payments across 92K claims from 2018–2024. The national median cost per claim is $12.28. Costs vary widely — the 90th percentile is $30.77 per claim, 2.5× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

92K

Providers

7

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for W1759? Based on 7 providers billing this code nationally.

Median

$12.28

Average

$17.99

Std Dev

$16.44

Max

$55.09

Percentile Distribution (Cost per Claim)

p10
$10.16
p25
$11.00
Median
$12.28
p75
$13.66
p90
$30.77
p95
$42.93
p99
$52.66

50% of providers bill between $11.00 and $13.66 per claim for this code.

90% bill between $10.16 and $30.77.

Top 1% bill above $52.66.

About This Procedure

HCPCS code W1759 was billed by 7 providers across 92K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.28

Providers Billing

7

National Spending

$1.2M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W1759

#ProviderTotal Paid
11003524125$508K
2Purfoods Llc

Ankeny, IA · Home Delivered Meals

$218K
31487052346$212K
41578925905$189K
51063976124$26K
61124680491$7K
71578020095$2K

Showing top 7 of 7 providers billing this code