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#4239 of 11K

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)

p10
$1.43
p25
$3.00
Median
$5.10
p75
$11.45
p90
$15.74
p95
$23.08
p99
$92.15

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

#ProviderTotal Paid
11275637324$143K
21972841872$89K
31407864374$66K
41417904574$56K
51760417232$54K
61518912344$50K
71831241033$35K
81215966205$33K
91164612040$25K
101588640254$24K
111225204050$19K
121467726638$17K
131730260233$14K
141699853713$13K
151255330403$13K
161972534154$11K
171831561091$11K
181801877436$9K
191306494620$7K
201639127079$5K

Showing top 20 of 49 providers billing this code

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