0561
HCPCS Procedure Code
HCPCS code 0561 is the #2,679 most-billed Medicaid procedure code, with $4.2M in payments across 25K claims from 2018–2024. The national median cost per claim is $123.61.
Total Paid
$4.2M
0.00% of all spending
Total Claims
25K
Providers
17
Avg Cost/Claim
$167
National Cost Distribution
How much do providers bill per claim for 0561? Based on 11 providers billing this code nationally.
Median
$123.61
Average
$140.35
Std Dev
$155.92
Max
$561.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.09 and $149.24 per claim for this code.
90% bill between $15.17 and $224.65.
Top 1% bill above $527.94.
About This Procedure
HCPCS code 0561 was billed by 17 providers across 25K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$123.61
Providers Billing
11
National Spending
$4.2M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0561
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992779417 | $1.6M |
| 2 | 1992012306 | $1.4M |
| 3 | Northern Valley Indian Health Inc Willows, CA · Clinic/Center | $581K |
| 4 | 1194899138 | $371K |
| 5 | 1245356674 | $116K |
| 6 | 1629130240 | $73K |
| 7 | 1093801680 | $28K |
| 8 | 1619952397 | $17K |
| 9 | 1225184963 | $14K |
| 10 | 1659433191 | $5K |
| 11 | Chapa-de Indian Health Program Inc. Auburn, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $15 |
| 12 | 1255779187 | $0 |
| 13 | 1922006162 | $0 |
| 14 | 1821134040 | $0 |
| 15 | 1609044924 | $0 |
| 16 | 1588826374 | $0 |
| 17 | 1922138841 | $0 |
Showing top 17 of 17 providers billing this code