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#7930 of 11K

S5517

HCPCS Procedure Code

HCPCS code S5517 is the #7,930 most-billed Medicaid procedure code, with $8K in payments across 391 claims from 2018–2024. The national median cost per claim is $16.78. Costs vary widely — the 90th percentile is $51.68 per claim, 3.1× the median.

Total Paid

$8K

0.00% of all spending

Total Claims

391

Providers

8

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for S5517? Based on 8 providers billing this code nationally.

Median

$16.78

Average

$26.55

Std Dev

$27.89

Max

$91.32

Percentile Distribution (Cost per Claim)

p10
$7.59
p25
$12.10
Median
$16.78
p75
$28.36
p90
$51.68
p95
$71.50
p99
$87.36

50% of providers bill between $12.10 and $28.36 per claim for this code.

90% bill between $7.59 and $51.68.

Top 1% bill above $87.36.

About This Procedure

HCPCS code S5517 was billed by 8 providers across 391 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 313 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.78

Providers Billing

8

National Spending

$8K

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S5517

#ProviderTotal Paid
1Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$3K
21114099488$3K
31851309595$1K
41619970845$555
51033166244$412
61457872632$273
71881727998$184
81417472812$169

Showing top 8 of 8 providers billing this code

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