#479 of 11K

0121

Revenue code, all-inclusive room and board

Revenue code, all-inclusive room and board is the #479 most-billed Medicaid procedure code, with $195.0M in payments across 42K claims from 2018–2024. The national median cost per claim is $2,650.78. Costs vary widely — the 90th percentile is $8,413.77 per claim, 3.2× the median.

Total Paid

$195.0M

0.02% of all spending

Total Claims

42K

Providers

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for 0121? Based on 65 providers billing this code nationally.

Median

$2,650.78

Average

$3,909.67

Std Dev

$4,144.38

Max

$18,228.95

Percentile Distribution (Cost per Claim)

p10

$178.48

p25

$579.26

Median

$2,650.78

p75

$5,766.53

p90

$8,413.77

p95

$12,496.77

p99

$16,189.27

50% of providers bill between $579.26 and $5,766.53 per claim for this code.

90% bill between $178.48 and $8,413.77.

Top 1% bill above $16,189.27.

About This Procedure

HCPCS code 0121 (Revenue code, all-inclusive room and board) was billed by 74 providers across 42K claims, totaling $195.0M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,650.78

Providers Billing

National Spending

$195.0M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0121

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital	$62.7M	$7,263.35	2.7× median	Above 75th
2	1932197258	$28.9M	$8,541.58	3.2× median	Top 10%
3	1750384079	$26.5M	$5,713.65	2.2× median	Above Median
4	Central Valley Specialty Hospital Inc Modesto, CA · General Acute Care Hospital	$24.0M	$15,041.95	5.7× median	Top 10%
5	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$5.8M	$883.54	0.3× median	Below Median
6	1275578817	$5.1M	$18,228.95	6.9× median	Top 1%
7	Regents Of The University Of California Sacramento, CA · General Acute Care Hospital	$4.3M	$6,824.55	2.6× median	Above 75th
8	1215927470	$3.6M	$2,669.64	1.0× median	Above Median
9	1235120676	$3.5M	$2,650.78	1.0× median	Below Median
10	Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital	$3.3M	$7,463.45	2.8× median	Above 75th
11	1427123132	$3.2M	$12,590.21	4.7× median	Top 10%
12	1114547114	$3.2M	$5,587.65	2.1× median	Above Median
13	1093892275	$2.6M	$5,187.71	2.0× median	Above Median
14	1740215219	$2.0M	$8,222.05	3.1× median	Above 75th
15	1639523004	$1.8M	$7,771.61	2.9× median	Above 75th
16	1801821376	$1.5M	$7,316.63	2.8× median	Above 75th
17	1194840421	$1.4M	$4,070.37	1.5× median	Above Median
18	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$1.3M	$5,459.29	2.1× median	Above Median
19	1811129752	$1.2M	$12,123.00	4.6× median	Top 10%
20	1205852209	$894K	$5,766.53	2.2× median	Above 75th

Showing top 20 of 74 providers billing this code

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