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#2085 of 11K

S0190

HCPCS Procedure Code

HCPCS code S0190 is the #2,085 most-billed Medicaid procedure code, with $9.3M in payments across 179K claims from 2018–2024. The national median cost per claim is $58.42.

Total Paid

$9.3M

0.00% of all spending

Total Claims

179K

Providers

195

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for S0190? Based on 169 providers billing this code nationally.

Median

$58.42

Average

$53.87

Std Dev

$27.03

Max

$270.00

Percentile Distribution (Cost per Claim)

p10
$21.16
p25
$41.88
Median
$58.42
p75
$65.84
p90
$71.68
p95
$79.39
p99
$111.89

50% of providers bill between $41.88 and $65.84 per claim for this code.

90% bill between $21.16 and $71.68.

Top 1% bill above $111.89.

About This Procedure

HCPCS code S0190 was billed by 195 providers across 179K claims, totaling $9.3M in Medicaid payments from 2018–2024. This code was used for 174K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.42

Providers Billing

169

National Spending

$9.3M

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0190

#ProviderTotal Paid
11417959701$1.8M
2Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$1.1M
31306909957$631K
41336174325$582K
51285701672$506K
61497847487$378K
71487749495$323K
81922448836$265K
91881758902$197K
101639218548$179K
111073608675$157K
121730370594$141K
131881755601$136K
141285873166$131K
151851440945$128K
161366496838$118K
171609897834$118K
181184847410$81K
191962456558$76K
201053364034$72K

Showing top 20 of 195 providers billing this code