S1016
HCPCS Procedure Code
HCPCS code S1016 is the #7,598 most-billed Medicaid procedure code, with $14K in payments across 3,146 claims from 2018–2024. The national median cost per claim is $8.25.
Total Paid
$14K
0.00% of all spending
Total Claims
3,146
Providers
5
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for S1016? Based on 5 providers billing this code nationally.
Median
$8.25
Average
$6.99
Std Dev
$6.99
Max
$16.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.47 and $9.42 per claim for this code.
90% bill between $0.19 and $13.87.
Top 1% bill above $16.54.
About This Procedure
HCPCS code S1016 was billed by 5 providers across 3,146 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 1,753 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.25
Providers Billing
5
National Spending
$14K
Avg/Median Ratio
0.85×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S1016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699722124 | $9K |
| 2 | 1467543165 | $2K |
| 3 | 1326095852 | $2K |
| 4 | 1275538530 | $295 |
| 5 | 1245014331 | $8 |
Showing top 5 of 5 providers billing this code