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#6042 of 11K

S8100

HCPCS Procedure Code

HCPCS code S8100 is the #6,042 most-billed Medicaid procedure code, with $102K in payments across 5,195 claims from 2018–2024. The national median cost per claim is $11.49. Costs vary widely — the 90th percentile is $26.16 per claim, 2.3× the median.

Total Paid

$102K

0.00% of all spending

Total Claims

5,195

Providers

13

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for S8100? Based on 11 providers billing this code nationally.

Median

$11.49

Average

$15.76

Std Dev

$12.16

Max

$46.59

Percentile Distribution (Cost per Claim)

p10
$5.92
p25
$7.90
Median
$11.49
p75
$19.41
p90
$26.16
p95
$36.37
p99
$44.54

50% of providers bill between $7.90 and $19.41 per claim for this code.

90% bill between $5.92 and $26.16.

Top 1% bill above $44.54.

About This Procedure

HCPCS code S8100 was billed by 13 providers across 5,195 claims, totaling $102K in Medicaid payments from 2018–2024. This code was used for 4,902 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.49

Providers Billing

11

National Spending

$102K

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S8100

#ProviderTotal Paid
11235189366$85K
21952617466$9K
31356526776$5K
4University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$918
51184709495$723
61548415474$333
71720008592$300
81154731016$299
91184960874$228
10The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$220
111891712147$90
12Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$0
131740347715$0

Showing top 13 of 13 providers billing this code