W6110
Waiver service, state-specific code
Waiver service, state-specific code is the #427 most-billed Medicaid procedure code, with $240.9M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $93.98.
Total Paid
$240.9M
0.02% of all spending
Total Claims
2.3M
Providers
3
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for W6110? Based on 2 providers billing this code nationally.
Median
$93.98
Average
$93.98
Std Dev
$16.53
Max
$105.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.13 and $99.82 per claim for this code.
90% bill between $84.62 and $103.33.
Top 1% bill above $105.43.
About This Procedure
HCPCS code W6110 (Waiver service, state-specific code) was billed by 3 providers across 2.3M claims, totaling $240.9M in Medicaid payments from 2018–2024. This code was used for 458K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$93.98
Providers Billing
2
National Spending
$240.9M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.