S0316
HCPCS Procedure Code
HCPCS code S0316 is the #2,128 most-billed Medicaid procedure code, with $8.7M in payments across 138K claims from 2018–2024. The national median cost per claim is $46.67.
Total Paid
$8.7M
0.00% of all spending
Total Claims
138K
Providers
49
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for S0316? Based on 43 providers billing this code nationally.
Median
$46.67
Average
$71.63
Std Dev
$114.50
Max
$705.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.91 and $83.87 per claim for this code.
90% bill between $6.25 and $90.00.
Top 1% bill above $564.41.
About This Procedure
HCPCS code S0316 was billed by 49 providers across 138K claims, totaling $8.7M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.67
Providers Billing
43
National Spending
$8.7M
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S0316
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144268848 | $2.0M |
| 2 | 1174095822 | $1.8M |
| 3 | 1548297062 | $654K |
| 4 | 1316492218 | $493K |
| 5 | 1154374775 | $461K |
| 6 | 1326033788 | $453K |
| 7 | 1548264229 | $425K |
| 8 | 1962776161 | $310K |
| 9 | 1144205535 | $266K |
| 10 | 1790839314 | $207K |
| 11 | 1780209882 | $187K |
| 12 | 1427117910 | $155K |
| 13 | 1609943042 | $152K |
| 14 | 1770852675 | $152K |
| 15 | 1205105269 | $147K |
| 16 | 1437428760 | $125K |
| 17 | 1235117714 | $124K |
| 18 | 1952890725 | $89K |
| 19 | 1285180307 | $86K |
| 20 | 1376093211 | $66K |
Showing top 20 of 49 providers billing this code