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#3027 of 11K

80100

HCPCS Procedure Code

HCPCS code 80100 is the #3,027 most-billed Medicaid procedure code, with $2.7M in payments across 182K claims from 2018–2024. The national median cost per claim is $13.92.

Total Paid

$2.7M

0.00% of all spending

Total Claims

182K

Providers

11

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 80100? Based on 3 providers billing this code nationally.

Median

$13.92

Average

$13.76

Std Dev

$1.72

Max

$15.40

Percentile Distribution (Cost per Claim)

p10
$12.36
p25
$12.95
Median
$13.92
p75
$14.66
p90
$15.10
p95
$15.25
p99
$15.37

50% of providers bill between $12.95 and $14.66 per claim for this code.

90% bill between $12.36 and $15.10.

Top 1% bill above $15.37.

About This Procedure

HCPCS code 80100 was billed by 11 providers across 182K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 98K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.92

Providers Billing

3

National Spending

$2.7M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80100

#ProviderTotal Paid
11881841120$2.1M
21346291986$579K
31710468384$455
41689763740$0
5Intensive Treatment Systems Llc

Phoenix, AZ · Community/Behavioral Health

$0
61831635770$0
71144600248$0
81184701906$0
91336194448$0
101235208075$0
111710979588$0

Showing top 11 of 11 providers billing this code

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