S5001
HCPCS Procedure Code
HCPCS code S5001 is the #1,388 most-billed Medicaid procedure code, with $24.9M in payments across 580K claims from 2018–2024. The national median cost per claim is $17.91. Costs vary widely — the 90th percentile is $148.76 per claim, 8.3× the median.
Total Paid
$24.9M
0.00% of all spending
Total Claims
580K
Providers
60
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for S5001? Based on 52 providers billing this code nationally.
Median
$17.91
Average
$60.57
Std Dev
$80.24
Max
$302.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.41 and $128.12 per claim for this code.
90% bill between $0.77 and $148.76.
Top 1% bill above $274.45.
About This Procedure
HCPCS code S5001 was billed by 60 providers across 580K claims, totaling $24.9M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.91
Providers Billing
52
National Spending
$24.9M
Avg/Median Ratio
3.38×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S5001
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407115298 | $6.2M |
| 2 | Sunrise Treatment Center, Llc Cincinnati, OH · Clinic/Center, Adult Mental Health | $6.0M |
| 3 | County Of San Diego San Diego, CA · Public Health or Welfare | $3.2M |
| 4 | 1366992224 | $2.4M |
| 5 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $1.3M |
| 6 | 1881957587 | $1.3M |
| 7 | 1922368166 | $1.2M |
| 8 | Department Of Behavioral Health Fresno, CA · Social Worker, Clinical | $871K |
| 9 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $613K |
| 10 | 1134184658 | $492K |
| 11 | 1174633143 | $327K |
| 12 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $310K |
| 13 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $105K |
| 14 | 1245290436 | $84K |
| 15 | 1194581454 | $73K |
| 16 | 1801849146 | $65K |
| 17 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $29K |
| 18 | 1447347778 | $28K |
| 19 | 1447321120 | $24K |
| 20 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $19K |
Showing top 20 of 60 providers billing this code