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#1455 of 11K

S8189

HCPCS Procedure Code

HCPCS code S8189 is the #1,455 most-billed Medicaid procedure code, with $22.7M in payments across 192K claims from 2018–2024. The national median cost per claim is $81.07. Costs vary widely — the 90th percentile is $400.31 per claim, 4.9× the median.

Total Paid

$22.7M

0.00% of all spending

Total Claims

192K

Providers

55

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for S8189? Based on 55 providers billing this code nationally.

Median

$81.07

Average

$133.25

Std Dev

$158.25

Max

$649.61

Percentile Distribution (Cost per Claim)

p10
$7.82
p25
$19.14
Median
$81.07
p75
$164.88
p90
$400.31
p95
$468.83
p99
$625.11

50% of providers bill between $19.14 and $164.88 per claim for this code.

90% bill between $7.82 and $400.31.

Top 1% bill above $625.11.

About This Procedure

HCPCS code S8189 was billed by 55 providers across 192K claims, totaling $22.7M in Medicaid payments from 2018–2024. This code was used for 99K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.07

Providers Billing

55

National Spending

$22.7M

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S8189

#ProviderTotal Paid
11861480048$3.1M
21013915933$2.8M
31508885617$2.6M
41073680799$1.7M
51942291463$1.6M
61689904146$1.4M
7Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$1.2M
81649228909$1.2M
91124125349$967K
101902829500$836K
111306961792$781K
121275612673$484K
131093761611$465K
141538668843$439K
151487649349$317K
161922103142$314K
171710978390$293K
181891745808$224K
191619909496$186K
201811990302$173K

Showing top 20 of 55 providers billing this code

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