H1000
Prenatal care, at-risk assessment
Prenatal care, at-risk assessment is the #451 most-billed Medicaid procedure code, with $217.0M in payments across 3.8M claims from 2018–2024. The national median cost per claim is $50.36. Costs vary widely — the 90th percentile is $106.60 per claim, 2.1× the median.
Total Paid
$217.0M
0.02% of all spending
Total Claims
3.8M
Providers
1K
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for H1000? Based on 1K providers billing this code nationally.
Median
$50.36
Average
$56.54
Std Dev
$38.96
Max
$233.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.31 and $72.57 per claim for this code.
90% bill between $14.01 and $106.60.
Top 1% bill above $182.77.
About This Procedure
HCPCS code H1000 (Prenatal care, at-risk assessment) was billed by 1K providers across 3.8M claims, totaling $217.0M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.36
Providers Billing
1K
National Spending
$217.0M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H1000
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386823243 | $15.4M |
| 2 | 1013902923 | $10.2M |
| 3 | 1134189103 | $9.1M |
| 4 | 1700990108 | $6.5M |
| 5 | 1669429577 | $5.2M |
| 6 | 1134214380 | $3.3M |
| 7 | 1396732541 | $3.2M |
| 8 | 1386751907 | $3.1M |
| 9 | 1174955256 | $3.1M |
| 10 | 1023055944 | $2.8M |
| 11 | 1144276452 | $2.7M |
| 12 | 1225034234 | $2.3M |
| 13 | 1114025749 | $2.1M |
| 14 | 1144252438 | $2.0M |
| 15 | 1538360425 | $2.0M |
| 16 | 1891116497 | $1.9M |
| 17 | 1922210517 | $1.9M |
| 18 | 1275829970 | $1.9M |
| 19 | 1558750281 | $1.8M |
| 20 | 1003280546 | $1.8M |
Showing top 20 of 1K providers billing this code