#4488 of 11K

S0077

HCPCS Procedure Code

HCPCS code S0077 is the #4,488 most-billed Medicaid procedure code, with $557K in payments across 45K claims from 2018–2024. The national median cost per claim is $4.35. Costs vary widely — the 90th percentile is $21.87 per claim, 5.0× the median.

Total Paid

$557K

0.00% of all spending

Total Claims

45K

Providers

164

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for S0077? Based on 124 providers billing this code nationally.

Median

$4.35

Average

$11.61

Std Dev

$29.68

Max

$311.40

Percentile Distribution (Cost per Claim)

p10

$0.29

p25

$1.82

Median

$4.35

p75

$11.29

p90

$21.87

p95

$37.71

p99

$68.40

50% of providers bill between $1.82 and $11.29 per claim for this code.

90% bill between $0.29 and $21.87.

Top 1% bill above $68.40.

About This Procedure

HCPCS code S0077 was billed by 164 providers across 45K claims, totaling $557K in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.35

Providers Billing

124

National Spending

$557K

Avg/Median Ratio

2.67×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0077

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1508856535	$201K	$311.40	71.6× median	Top 1%
2	1821147786	$26K	$45.95	10.6× median	Top 10%
3	1952333205	$25K	$72.69	16.7× median	Top 1%
4	1104856095	$21K	$34.35	7.9× median	Top 10%
5	Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical	$20K	$11.79	2.7× median	Above 75th
6	1144274317	$19K	$37.17	8.5× median	Top 10%
7	Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology	$18K	$3.72	0.9× median	Below Median
8	1043215379	$16K	$37.72	8.7× median	Top 10%
9	1538141627	$15K	$13.35	3.1× median	Above 75th
10	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$14K	$10.87	2.5× median	Above Median
11	1386681468	$13K	$37.62	8.6× median	Top 10%
12	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$13K	$16.94	3.9× median	Above 75th
13	1912133315	$11K	$17.66	4.1× median	Above 75th
14	Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical	$10K	$5.59	1.3× median	Above Median
15	1477584993	$9K	$25.69	5.9× median	Top 10%
16	The Nemours Foundation Orlando, FL · General Acute Care Hospital Children	$8K	$40.21	9.2× median	Top 10%
17	1821002007	$8K	$9.72	2.2× median	Above Median
18	1184654923	$7K	$12.24	2.8× median	Above 75th
19	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$6K	$8.23	1.9× median	Above Median
20	Dignity Health San Bernardino, CA · General Acute Care Hospital	$6K	$3.40	0.8× median	Below Median

Showing top 20 of 164 providers billing this code

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