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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lompoc Valley Medical Center Lompoc, CA · Skilled Nursing Facility | $10.3M |
| 2 | 1598221863 | $712K |
| 3 | 1952393076 | $324K |
| 4 | 1710066634 | $249K |
| 5 | 1386732006 | $99K |
| 6 | 1699986331 | $29K |
| 7 | 1487865184 | $13K |
| 8 | 1477615797 | $10K |
| 9 | 1285845982 | $0 |
| 10 | 1851460240 | $0 |
| 11 | 1154316933 | $0 |
| 12 | 1841354354 | $0 |
| 13 | 1922128974 | $0 |
| 14 | 1821027632 | $0 |
| 15 | Kaiser Foundation Hospitals Vallejo, CA · General Acute Care Hospital | $0 |
| 16 | 1679567853 | $0 |
| 17 | 1245323088 | $0 |
| 18 | 1275618142 | $0 |
| 19 | 1295831139 | $0 |
| 20 | 1447460977 | $0 |
Showing top 20 of 25 providers billing this code