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#4965 of 11K

S5520

HCPCS Procedure Code

HCPCS code S5520 is the #4,965 most-billed Medicaid procedure code, with $337K in payments across 18K claims from 2018–2024. The national median cost per claim is $88.92.

Total Paid

$337K

0.00% of all spending

Total Claims

18K

Providers

3

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for S5520? Based on 3 providers billing this code nationally.

Median

$88.92

Average

$95.38

Std Dev

$83.56

Max

$181.99

Percentile Distribution (Cost per Claim)

p10
$29.98
p25
$52.08
Median
$88.92
p75
$135.45
p90
$163.37
p95
$172.68
p99
$180.13

50% of providers bill between $52.08 and $135.45 per claim for this code.

90% bill between $29.98 and $163.37.

Top 1% bill above $180.13.

About This Procedure

HCPCS code S5520 was billed by 3 providers across 18K claims, totaling $337K in Medicaid payments from 2018–2024. This code was used for 8,331 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$88.92

Providers Billing

3

National Spending

$337K

Avg/Median Ratio

1.07×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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