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#7598 of 11K

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)

p10
$0.19
p25
$0.47
Median
$8.25
p75
$9.42
p90
$13.87
p95
$15.35
p99
$16.54

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

#ProviderTotal Paid
11699722124$9K
21467543165$2K
31326095852$2K
41275538530$295
51245014331$8

Showing top 5 of 5 providers billing this code

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