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#4222 of 11K

S0512

HCPCS Procedure Code

HCPCS code S0512 is the #4,222 most-billed Medicaid procedure code, with $743K in payments across 2,818 claims from 2018–2024. The national median cost per claim is $246.10.

Total Paid

$743K

0.00% of all spending

Total Claims

2,818

Providers

30

Avg Cost/Claim

$264

National Cost Distribution

How much do providers bill per claim for S0512? Based on 30 providers billing this code nationally.

Median

$246.10

Average

$249.19

Std Dev

$58.01

Max

$442.12

Percentile Distribution (Cost per Claim)

p10
$194.65
p25
$214.84
Median
$246.10
p75
$280.53
p90
$300.00
p95
$300.00
p99
$400.91

50% of providers bill between $214.84 and $280.53 per claim for this code.

90% bill between $194.65 and $300.00.

Top 1% bill above $400.91.

About This Procedure

HCPCS code S0512 was billed by 30 providers across 2,818 claims, totaling $743K in Medicaid payments from 2018–2024. This code was used for 2,611 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$246.10

Providers Billing

30

National Spending

$743K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0512

#ProviderTotal Paid
11801038195$153K
21194085605$95K
31568481646$86K
41205935111$69K
51689794703$58K
61316405269$55K
71225196132$47K
81457515181$38K
91578794509$19K
101942326244$16K
111528472099$14K
121861500175$12K
131356321616$10K
141538217229$7K
151154638153$7K
161518974070$7K
171659566800$5K
181467657916$4K
191902112667$4K
201083956981$4K

Showing top 20 of 30 providers billing this code