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#2912 of 11K

S8101

HCPCS Procedure Code

HCPCS code S8101 is the #2,912 most-billed Medicaid procedure code, with $3.1M in payments across 128K claims from 2018–2024. The national median cost per claim is $23.46. Costs vary widely — the 90th percentile is $49.86 per claim, 2.1× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

128K

Providers

89

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for S8101? Based on 83 providers billing this code nationally.

Median

$23.46

Average

$25.05

Std Dev

$14.90

Max

$58.48

Percentile Distribution (Cost per Claim)

p10
$4.17
p25
$16.06
Median
$23.46
p75
$28.28
p90
$49.86
p95
$54.57
p99
$56.50

50% of providers bill between $16.06 and $28.28 per claim for this code.

90% bill between $4.17 and $49.86.

Top 1% bill above $56.50.

About This Procedure

HCPCS code S8101 was billed by 89 providers across 128K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 121K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.46

Providers Billing

83

National Spending

$3.1M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S8101

#ProviderTotal Paid
11750608147$673K
21114398054$402K
31659424992$272K
4Integra Partners Llc

Troy, MI · Orthotic Fitter

$176K
51538334222$167K
61255761318$156K
71023278926$142K
81164426144$142K
91235189366$110K
101831182054$109K
111043317761$82K
121952617466$74K
131619137536$72K
14University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$49K
151033351077$45K
161629089016$43K
171639371586$33K
181699290759$30K
191265453229$30K
201134259328$30K

Showing top 20 of 89 providers billing this code