S5162
HCPCS Procedure Code
HCPCS code S5162 is the #3,908 most-billed Medicaid procedure code, with $1.0M in payments across 10K claims from 2018–2024. The national median cost per claim is $112.17.
Total Paid
$1.0M
0.00% of all spending
Total Claims
10K
Providers
20
Avg Cost/Claim
$100
National Cost Distribution
How much do providers bill per claim for S5162? Based on 16 providers billing this code nationally.
Median
$112.17
Average
$116.91
Std Dev
$78.89
Max
$252.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $52.42 and $170.34 per claim for this code.
90% bill between $19.00 and $218.48.
Top 1% bill above $250.79.
About This Procedure
HCPCS code S5162 was billed by 20 providers across 10K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$112.17
Providers Billing
16
National Spending
$1.0M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S5162
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245747187 | $434K |
| 2 | 1053981266 | $150K |
| 3 | 1568492585 | $133K |
| 4 | 1508891946 | $123K |
| 5 | 1831720457 | $66K |
| 6 | 1700856507 | $62K |
| 7 | 1760942635 | $27K |
| 8 | 1447277264 | $11K |
| 9 | 1710308986 | $7K |
| 10 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $6K |
| 11 | 1144523556 | $4K |
| 12 | 1740579267 | $3K |
| 13 | 1639770183 | $3K |
| 14 | 1740403146 | $2K |
| 15 | 1023107281 | $900 |
| 16 | 1497221618 | $224 |
| 17 | 1508982232 | $0 |
| 18 | 042537528 | $0 |
| 19 | 1669802708 | $0 |
| 20 | 1992135941 | $0 |
Showing top 20 of 20 providers billing this code