#7142 of 11K

S0030

HCPCS Procedure Code

HCPCS code S0030 is the #7,142 most-billed Medicaid procedure code, with $27K in payments across 7,486 claims from 2018–2024. The national median cost per claim is $0.31. Costs vary widely — the 90th percentile is $13.98 per claim, 45.1× the median.

Total Paid

$27K

0.00% of all spending

Total Claims

7,486

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for S0030? Based on 20 providers billing this code nationally.

Median

$0.31

Average

$3.25

Std Dev

$6.22

Max

$18.54

Percentile Distribution (Cost per Claim)

p10

$0.03

p25

$0.06

Median

$0.31

p75

$0.91

p90

$13.98

p95

$16.39

p99

$18.11

50% of providers bill between $0.06 and $0.91 per claim for this code.

90% bill between $0.03 and $13.98.

Top 1% bill above $18.11.

About This Procedure

HCPCS code S0030 was billed by 33 providers across 7,486 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 4,234 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.31

Providers Billing

National Spending

$27K

Avg/Median Ratio

10.48×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0030

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$19K	$18.54	59.8× median	Top 1%
2	1063442770	$6K	$13.73	44.3× median	Above 75th
3	1689744450	$879	$16.28	52.5× median	Top 10%
4	Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine	$629	$12.10	39.0× median	Above 75th
5	1396317137	$225	$1.19	3.8× median	Above 75th
6	Mount Sinai Hospital New York, NY · Ambulance	$117	$0.30	1.0× median	Below Median
7	1861435042	$84	$0.81	2.6× median	Above Median
8	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$43	$0.31	1.0× median	Below Median
9	1902228844	$40	$0.35	1.1× median	Above Median
10	1699986331	$40	$0.03	0.1× median	Below Median
11	1861439952	$29	$0.47	1.5× median	Above Median
12	1245248939	$17	$0.08	0.3× median	Below Median
13	Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical	$14	$0.36	1.2× median	Above Median
14	1578560504	$12	$0.06	0.2× median	Below Median
15	1679592380	$7	$0.11	0.3× median	Below Median
16	1194744805	$6	$0.06	0.2× median	Below Median
17	Carilion Medical Center Roanoke, VA · General Acute Care Hospital	$2	$0.00	0.0× median	Below Median
18	1285845982	$2	$0.01	0.0× median	Below Median
19	Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical	$1	$0.09	0.3× median	Below Median
20	1760794044	$1	$0.04	0.1× median	Below Median

Showing top 20 of 33 providers billing this code

Related Procedures

S0020$2.7M S0028$2.4M

← All procedures Top providers →