0571
HCPCS Procedure Code
HCPCS code 0571 is the #4,500 most-billed Medicaid procedure code, with $546K in payments across 28K claims from 2018–2024. The national median cost per claim is $0.48. Costs vary widely — the 90th percentile is $64.16 per claim, 133.7× the median.
Total Paid
$546K
0.00% of all spending
Total Claims
28K
Providers
40
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 0571? Based on 11 providers billing this code nationally.
Median
$0.48
Average
$755.17
Std Dev
$2,481.45
Max
$8,236.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.35 and $1.73 per claim for this code.
90% bill between $0.13 and $64.16.
Top 1% bill above $7,419.54.
About This Procedure
HCPCS code 0571 was billed by 40 providers across 28K claims, totaling $546K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.48
Providers Billing
11
National Spending
$546K
Avg/Median Ratio
1573.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0571
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194899138 | $444K |
| 2 | 1629371398 | $99K |
| 3 | 1073745170 | $812 |
| 4 | 1043658602 | $623 |
| 5 | 1831328400 | $498 |
| 6 | Optimal Hospice Inc. Fresno, CA · Hospice Care Community Based | $293 |
| 7 | 1669474987 | $284 |
| 8 | 1295990034 | $263 |
| 9 | 1396082004 | $69 |
| 10 | 1922511153 | $69 |
| 11 | 1821134040 | $7 |
| 12 | 1316264948 | $0 |
| 13 | 1245383165 | $0 |
| 14 | 1548800840 | $0 |
| 15 | 1306011507 | $0 |
| 16 | 1750732988 | $0 |
| 17 | 1821301490 | $0 |
| 18 | 1619471695 | $0 |
| 19 | 1184870933 | $0 |
| 20 | 1942496906 | $0 |
Showing top 20 of 40 providers billing this code