#4127 of 11K

S0250

HCPCS Procedure Code

HCPCS code S0250 is the #4,127 most-billed Medicaid procedure code, with $823K in payments across 19K claims from 2018–2024. The national median cost per claim is $66.58. Costs vary widely — the 90th percentile is $140.00 per claim, 2.1× the median.

Total Paid

$823K

0.00% of all spending

Total Claims

19K

Providers

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for S0250? Based on 18 providers billing this code nationally.

Median

$66.58

Average

$59.33

Std Dev

$54.28

Max

$160.00

Percentile Distribution (Cost per Claim)

p10

$0.01

p25

$3.21

Median

$66.58

p75

$86.07

p90

$140.00

p95

$143.00

p99

$156.60

50% of providers bill between $3.21 and $86.07 per claim for this code.

90% bill between $0.01 and $140.00.

Top 1% bill above $156.60.

About This Procedure

HCPCS code S0250 was billed by 33 providers across 19K claims, totaling $823K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.58

Providers Billing

National Spending

$823K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0250

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1891104386	$365K	$83.22	1.2× median	Above Median
2	1043281876	$123K	$60.65	0.9× median	Below Median
3	1912085374	$119K	$86.40	1.3× median	Above 75th
4	1902917651	$68K	$72.51	1.1× median	Above Median
5	1578550190	$60K	$52.82	0.8× median	Below Median
6	Central Boston Elder Services, Inc. Roxbury, MA · Case Management	$25K	$140.00	2.1× median	Top 10%
7	1568583235	$23K	$84.23	1.3× median	Above Median
8	Old Colony Elderly Services, Inc. Brockton, MA · Case Management	$12K	$160.00	2.4× median	Top 1%
9	1457356206	$12K	$90.17	1.4× median	Above 75th
10	1497984546	$11K	$85.07	1.3× median	Above Median
11	1033293881	$4K	$140.00	2.1× median	Top 10%
12	1700873601	$600	$6.38	0.1× median	Below Median
13	1477572626	$500	$3.21	0.0× median	Below Median
14	M000065500	$300	$3.23	0.0× median	Below Median
15	1770957219	$7	$0.01	0.0× median	Below Median
16	1558455501	$6	$0.01	0.0× median	Below Median
17	1841413135	$2	$0.01	0.0× median	Below Median
18	1336625540	$0	$0.00	0.0× median	Below Median
19	1841546843	$0	$0.00	0.0× median	Below Median
20	1295795078	$0	$0.00	0.0× median	Below Median

Showing top 20 of 33 providers billing this code

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