#2150 of 11K

S8940

HCPCS Procedure Code

HCPCS code S8940 is the #2,150 most-billed Medicaid procedure code, with $8.4M in payments across 92K claims from 2018–2024. The national median cost per claim is $95.40. Costs vary widely — the 90th percentile is $219.47 per claim, 2.3× the median.

Total Paid

$8.4M

0.00% of all spending

Total Claims

92K

Providers

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for S8940? Based on 23 providers billing this code nationally.

Median

$95.40

Average

$126.51

Std Dev

$59.61

Max

$272.11

Percentile Distribution (Cost per Claim)

p10

$78.18

p25

$83.04

Median

$95.40

p75

$154.58

p90

$219.47

p95

$236.79

p99

$264.67

50% of providers bill between $83.04 and $154.58 per claim for this code.

90% bill between $78.18 and $219.47.

Top 1% bill above $264.67.

About This Procedure

HCPCS code S8940 was billed by 23 providers across 92K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.40

Providers Billing

National Spending

$8.4M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S8940

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Disability Services Of The Southwest, Inc San Antonio, TX · Day Training, Developmentally Disabled Services	$3.6M	$88.22	0.9× median	Below Median
2	Caregivers Home Health Tx Inc Richardson, TX · Nursing Care	$1.8M	$83.64	0.9× median	Below Median
3	1093172520	$551K	$77.25	0.8× median	Below Median
4	Astrocare Class, Inc. Houston, TX · Home Health	$316K	$82.45	0.9× median	Below Median
5	Developmental Disabilities Center Lafayette, CO · Day Training Developmentally Disabled Services	$291K	$186.30	2.0× median	Above 75th
6	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$278K	$74.64	0.8× median	Below Median
7	1558484394	$264K	$140.30	1.5× median	Above Median
8	1326697269	$241K	$160.68	1.7× median	Above 75th
9	1972830016	$225K	$122.57	1.3× median	Above Median
10	1336454461	$151K	$74.80	0.8× median	Below Median
11	1518144633	$151K	$95.40	1.0× median	Above Median
12	1144362922	$102K	$148.48	1.6× median	Above Median
13	1467517508	$92K	$113.13	1.2× median	Above Median
14	First Primary Home Care, Inc Harlingen, TX · Hospice Care, Community Based	$81K	$81.92	0.9× median	Below Median
15	1568591725	$78K	$272.11	2.9× median	Top 1%
16	1790127801	$73K	$223.14	2.3× median	Top 10%
17	1073108924	$49K	$96.35	1.0× median	Above Median
18	1710353131	$47K	$90.21	0.9× median	Below Median
19	1437275690	$35K	$204.76	2.1× median	Above 75th
20	1013548866	$29K	$238.31	2.5× median	Top 10%

Showing top 20 of 23 providers billing this code

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