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#4604 of 11K

W7010

HCPCS Procedure Code

HCPCS code W7010 is the #4,604 most-billed Medicaid procedure code, with $493K in payments across 41K claims from 2018–2024. The national median cost per claim is $15.03.

Total Paid

$493K

0.00% of all spending

Total Claims

41K

Providers

36

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for W7010? Based on 35 providers billing this code nationally.

Median

$15.03

Average

$14.50

Std Dev

$2.91

Max

$22.32

Percentile Distribution (Cost per Claim)

p10
$12.57
p25
$13.41
Median
$15.03
p75
$15.85
p90
$16.43
p95
$17.14
p99
$20.57

50% of providers bill between $13.41 and $15.85 per claim for this code.

90% bill between $12.57 and $16.43.

Top 1% bill above $20.57.

About This Procedure

HCPCS code W7010 was billed by 36 providers across 41K claims, totaling $493K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.03

Providers Billing

35

National Spending

$493K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W7010

#ProviderTotal Paid
11356388599$121K
21194099788$56K
31568418960$53K
4Community Clinic Inc.

Takoma Park, MD · Clinic/Center Federally Qualified Health Center (FQHC)

$39K
51972752004$37K
61730398538$36K
7Baltimore Medical System Inc

Baltimore, MD · Clinic/Center Federally Qualified Health Center (FQHC)

$24K
81295921534$24K
91447426895$13K
101831492586$12K
111366625089$11K
121386639581$9K
131619992237$9K
141396971610$8K
151356400873$7K
161174949358$6K
171063582179$4K
181427073378$3K
191629495528$3K
201881678043$3K

Showing top 20 of 36 providers billing this code

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