#3347 of 11K

S8490

HCPCS Procedure Code

HCPCS code S8490 is the #3,347 most-billed Medicaid procedure code, with $1.9M in payments across 79K claims from 2018–2024. The national median cost per claim is $22.06.

Total Paid

$1.9M

0.00% of all spending

Total Claims

79K

Providers

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for S8490? Based on 64 providers billing this code nationally.

Median

$22.06

Average

$25.79

Std Dev

$13.10

Max

$84.55

Percentile Distribution (Cost per Claim)

p10

$15.17

p25

$17.70

Median

$22.06

p75

$30.84

p90

$37.71

p95

$51.82

p99

$68.47

50% of providers bill between $17.70 and $30.84 per claim for this code.

90% bill between $15.17 and $37.71.

Top 1% bill above $68.47.

About This Procedure

HCPCS code S8490 was billed by 64 providers across 79K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 72K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.06

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S8490

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972660322	$373K	$25.77	1.2× median	Above Median
2	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$362K	$37.39	1.7× median	Above 75th
3	1104800440	$288K	$18.55	0.8× median	Below Median
4	1194880526	$104K	$17.97	0.8× median	Below Median
5	1356732382	$103K	$31.59	1.4× median	Above 75th
6	1770512501	$98K	$25.10	1.1× median	Above Median
7	1073570230	$92K	$21.82	1.0× median	Below Median
8	1619956901	$47K	$48.15	2.2× median	Top 10%
9	1053329003	$44K	$18.62	0.8× median	Below Median
10	1013086594	$37K	$31.19	1.4× median	Above 75th
11	1629220678	$35K	$18.39	0.8× median	Below Median
12	1487605093	$27K	$16.42	0.7× median	Below Median
13	1629558010	$26K	$15.65	0.7× median	Below Median
14	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$22K	$35.02	1.6× median	Above 75th
15	1477740827	$22K	$16.12	0.7× median	Below Median
16	1326015942	$20K	$32.17	1.5× median	Above 75th
17	1821265364	$20K	$16.98	0.8× median	Below Median
18	1528433075	$19K	$13.83	0.6× median	Below Median
19	1366653545	$16K	$22.81	1.0× median	Above Median
20	1770511933	$14K	$27.13	1.2× median	Above Median

Showing top 20 of 64 providers billing this code

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