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#2045 of 11K

S0013

HCPCS Procedure Code

HCPCS code S0013 is the #2,045 most-billed Medicaid procedure code, with $9.7M in payments across 10K claims from 2018–2024. The national median cost per claim is $998.74.

Total Paid

$9.7M

0.00% of all spending

Total Claims

10K

Providers

24

Avg Cost/Claim

$940

National Cost Distribution

How much do providers bill per claim for S0013? Based on 16 providers billing this code nationally.

Median

$998.74

Average

$1,005.29

Std Dev

$537.35

Max

$2,071.71

Percentile Distribution (Cost per Claim)

p10
$396.76
p25
$801.49
Median
$998.74
p75
$1,126.43
p90
$1,691.37
p95
$1,999.65
p99
$2,057.30

50% of providers bill between $801.49 and $1,126.43 per claim for this code.

90% bill between $396.76 and $1,691.37.

Top 1% bill above $2,057.30.

About This Procedure

HCPCS code S0013 was billed by 24 providers across 10K claims, totaling $9.7M in Medicaid payments from 2018–2024. This code was used for 3,962 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$998.74

Providers Billing

16

National Spending

$9.7M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0013

#ProviderTotal Paid
11013942788$2.4M
21659904803$1.3M
31407282486$1.3M
41942453220$1.0M
51356099154$799K
61699978197$746K
71023643384$445K
81003386871$375K
91023596541$359K
101700115086$350K
111740546399$245K
121104440098$186K
131598954687$146K
141619644358$79K
151669028080$36K
161578677811$5K
171851015127$0
18University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$0
191538396270$0
201205004298$0

Showing top 20 of 24 providers billing this code

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