#1900 of 11K

S0317

HCPCS Procedure Code

HCPCS code S0317 is the #1,900 most-billed Medicaid procedure code, with $12.0M in payments across 293K claims from 2018–2024. The national median cost per claim is $116.32. Costs vary widely — the 90th percentile is $618.16 per claim, 5.3× the median.

Total Paid

$12.0M

0.00% of all spending

Total Claims

293K

Providers

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for S0317? Based on 45 providers billing this code nationally.

Median

$116.32

Average

$247.17

Std Dev

$455.45

Max

$1,861.54

Percentile Distribution (Cost per Claim)

p10

$5.00

p25

$8.06

Median

$116.32

p75

$189.66

p90

$618.16

p95

$1,410.05

p99

$1,836.36

50% of providers bill between $8.06 and $189.66 per claim for this code.

90% bill between $5.00 and $618.16.

Top 1% bill above $1,836.36.

About This Procedure

HCPCS code S0317 was billed by 47 providers across 293K claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$116.32

Providers Billing

National Spending

$12.0M

Avg/Median Ratio

2.12×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S0317

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Health Managment Of Kansas, Inc. Coffeyville, KS · Home Health	$4.3M	$36.02	0.3× median	Below Median
2	1376709535	$2.4M	$1,804.32	15.5× median	Top 10%
3	1437146503	$1.4M	$49.63	0.4× median	Below Median
4	1154624443	$842K	$390.14	3.4× median	Above 75th
5	1639694615	$455K	$204.58	1.8× median	Above 75th
6	1790201895	$350K	$142.87	1.2× median	Above Median
7	1851702732	$288K	$10.32	0.1× median	Below Median
8	1619921665	$168K	$249.81	2.1× median	Above 75th
9	1942488291	$150K	$300.00	2.6× median	Above 75th
10	1154732832	$137K	$26.23	0.2× median	Below Median
11	1780144592	$132K	$1,434.78	12.3× median	Top 10%
12	1154829315	$116K	$21.43	0.2× median	Below Median
13	1619371895	$104K	$8.06	0.1× median	Below Median
14	1902565062	$96K	$184.97	1.6× median	Above Median
15	1245641927	$82K	$11.92	0.1× median	Below Median
16	1700884582	$81K	$187.91	1.6× median	Above Median
17	1801832274	$80K	$145.15	1.2× median	Above Median
18	1144679564	$77K	$294.71	2.5× median	Above 75th
19	1548250079	$75K	$9.64	0.1× median	Below Median
20	1013217942	$71K	$5.23	0.0× median	Below Median

Showing top 20 of 47 providers billing this code

Related Procedures

S0311$41.5M S0316$8.7M S0310$1.5M S0315$1.3M S0320$547K

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