S1015
HCPCS Procedure Code
HCPCS code S1015 is the #4,239 most-billed Medicaid procedure code, with $723K in payments across 100K claims from 2018–2024. The national median cost per claim is $5.10. Costs vary widely — the 90th percentile is $15.74 per claim, 3.1× the median.
Total Paid
$723K
0.00% of all spending
Total Claims
100K
Providers
49
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for S1015? Based on 43 providers billing this code nationally.
Median
$5.10
Average
$10.20
Std Dev
$21.41
Max
$141.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.00 and $11.45 per claim for this code.
90% bill between $1.43 and $15.74.
Top 1% bill above $92.15.
About This Procedure
HCPCS code S1015 was billed by 49 providers across 100K claims, totaling $723K in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.10
Providers Billing
43
National Spending
$723K
Avg/Median Ratio
2.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S1015
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275637324 | $143K |
| 2 | 1972841872 | $89K |
| 3 | 1407864374 | $66K |
| 4 | 1417904574 | $56K |
| 5 | 1760417232 | $54K |
| 6 | 1518912344 | $50K |
| 7 | 1831241033 | $35K |
| 8 | 1215966205 | $33K |
| 9 | 1164612040 | $25K |
| 10 | 1588640254 | $24K |
| 11 | 1225204050 | $19K |
| 12 | 1467726638 | $17K |
| 13 | 1730260233 | $14K |
| 14 | 1699853713 | $13K |
| 15 | 1255330403 | $13K |
| 16 | 1972534154 | $11K |
| 17 | 1831561091 | $11K |
| 18 | 1801877436 | $9K |
| 19 | 1306494620 | $7K |
| 20 | 1639127079 | $5K |
Showing top 20 of 49 providers billing this code