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#3572 of 11K

S0612

HCPCS Procedure Code

HCPCS code S0612 is the #3,572 most-billed Medicaid procedure code, with $1.5M in payments across 36K claims from 2018–2024. The national median cost per claim is $37.12. Costs vary widely — the 90th percentile is $99.08 per claim, 2.7× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

36K

Providers

98

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for S0612? Based on 72 providers billing this code nationally.

Median

$37.12

Average

$50.14

Std Dev

$53.41

Max

$373.36

Percentile Distribution (Cost per Claim)

p10
$2.11
p25
$26.47
Median
$37.12
p75
$63.76
p90
$99.08
p95
$110.66
p99
$250.27

50% of providers bill between $26.47 and $63.76 per claim for this code.

90% bill between $2.11 and $99.08.

Top 1% bill above $250.27.

About This Procedure

HCPCS code S0612 was billed by 98 providers across 36K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.12

Providers Billing

72

National Spending

$1.5M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0612

#ProviderTotal Paid
11730133992$253K
21376528729$212K
31548291891$173K
41467534636$140K
51689661928$81K
61336533041$76K
71861525925$73K
81700058575$62K
91639493919$48K
101306943048$46K
111407981160$30K
121285290593$29K
131982833356$26K
141457493397$17K
151598196495$13K
161083716088$13K
17Lasante Health Center Inc

Brooklyn, NY · Clinic/Center, Community Health

$12K
181982649638$12K
191982086773$12K
201285809509$10K

Showing top 20 of 98 providers billing this code