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#2438 of 11K

S5146

HCPCS Procedure Code

HCPCS code S5146 is the #2,438 most-billed Medicaid procedure code, with $5.8M in payments across 9K claims from 2018–2024. The national median cost per claim is $686.89.

Total Paid

$5.8M

0.00% of all spending

Total Claims

9K

Providers

11

Avg Cost/Claim

$623

National Cost Distribution

How much do providers bill per claim for S5146? Based on 11 providers billing this code nationally.

Median

$686.89

Average

$708.17

Std Dev

$217.09

Max

$1,281.21

Percentile Distribution (Cost per Claim)

p10
$532.76
p25
$592.78
Median
$686.89
p75
$753.29
p90
$789.86
p95
$1,035.53
p99
$1,232.07

50% of providers bill between $592.78 and $753.29 per claim for this code.

90% bill between $532.76 and $789.86.

Top 1% bill above $1,232.07.

About This Procedure

HCPCS code S5146 was billed by 11 providers across 9K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$686.89

Providers Billing

11

National Spending

$5.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S5146

#ProviderTotal Paid
11164556726$1.6M
21306287651$1.1M
31164826038$647K
41518044676$634K
51508936238$514K
61326091893$496K
71699899187$232K
81578909560$226K
91427104132$167K
101386710861$74K
111588941538$68K

Showing top 11 of 11 providers billing this code