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#1910 of 11K

0100

HCPCS Procedure Code

HCPCS code 0100 is the #1,910 most-billed Medicaid procedure code, with $11.7M in payments across 24K claims from 2018–2024. The national median cost per claim is $1,532.41. Costs vary widely — the 90th percentile is $10,049.81 per claim, 6.6× the median.

Total Paid

$11.7M

0.00% of all spending

Total Claims

24K

Providers

25

Avg Cost/Claim

$499

National Cost Distribution

How much do providers bill per claim for 0100? Based on 8 providers billing this code nationally.

Median

$1,532.41

Average

$4,030.04

Std Dev

$5,486.00

Max

$15,936.06

Percentile Distribution (Cost per Claim)

p10
$34.13
p25
$523.78
Median
$1,532.41
p75
$5,617.20
p90
$10,049.81
p95
$12,992.94
p99
$15,347.44

50% of providers bill between $523.78 and $5,617.20 per claim for this code.

90% bill between $34.13 and $10,049.81.

Top 1% bill above $15,347.44.

About This Procedure

HCPCS code 0100 was billed by 25 providers across 24K claims, totaling $11.7M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,532.41

Providers Billing

8

National Spending

$11.7M

Avg/Median Ratio

2.63×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0100

#ProviderTotal Paid
1Lompoc Valley Medical Center

Lompoc, CA · Skilled Nursing Facility

$10.3M
21598221863$712K
31952393076$324K
41710066634$249K
51386732006$99K
61699986331$29K
71487865184$13K
81477615797$10K
91285845982$0
101851460240$0
111154316933$0
121841354354$0
131922128974$0
141821027632$0
15Kaiser Foundation Hospitals

Vallejo, CA · General Acute Care Hospital

$0
161679567853$0
171245323088$0
181275618142$0
191295831139$0
201447460977$0

Showing top 20 of 25 providers billing this code