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#4208 of 11K

S0191

HCPCS Procedure Code

HCPCS code S0191 is the #4,208 most-billed Medicaid procedure code, with $755K in payments across 187K claims from 2018–2024. The national median cost per claim is $2.68.

Total Paid

$755K

0.00% of all spending

Total Claims

187K

Providers

197

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for S0191? Based on 168 providers billing this code nationally.

Median

$2.68

Average

$3.28

Std Dev

$4.48

Max

$32.14

Percentile Distribution (Cost per Claim)

p10
$0.74
p25
$1.41
Median
$2.68
p75
$3.18
p90
$4.46
p95
$7.59
p99
$28.01

50% of providers bill between $1.41 and $3.18 per claim for this code.

90% bill between $0.74 and $4.46.

Top 1% bill above $28.01.

About This Procedure

HCPCS code S0191 was billed by 197 providers across 187K claims, totaling $755K in Medicaid payments from 2018–2024. This code was used for 180K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.68

Providers Billing

168

National Spending

$755K

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0191

#ProviderTotal Paid
11922448836$103K
21639218548$99K
3Planned Parenthood/orange And San Bernardino Counties, Inc.

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

$89K
41417959701$70K
51306909957$45K
61730370594$38K
71629418512$34K
81336174325$26K
91982798831$23K
101497847487$20K
111073608675$17K
121487749495$16K
131285701672$13K
141558424473$8K
151043304769$8K
161609897834$7K
171366496838$6K
181881755601$6K
191285873166$5K
201851440945$5K

Showing top 20 of 197 providers billing this code