H1001
HCPCS Procedure Code
HCPCS code H1001 is the #832 most-billed Medicaid procedure code, with $70.5M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $60.48. Costs vary widely — the 90th percentile is $126.92 per claim, 2.1× the median.
Total Paid
$70.5M
0.01% of all spending
Total Claims
1.8M
Providers
991
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for H1001? Based on 866 providers billing this code nationally.
Median
$60.48
Average
$64.18
Std Dev
$45.33
Max
$241.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.45 and $84.77 per claim for this code.
90% bill between $5.67 and $126.92.
Top 1% bill above $187.02.
About This Procedure
HCPCS code H1001 was billed by 991 providers across 1.8M claims, totaling $70.5M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.48
Providers Billing
866
National Spending
$70.5M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H1001
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871607762 | $2.9M |
| 2 | 1992939565 | $2.2M |
| 3 | Shasta Community Health Center Redding, CA · Clinical Neuropsychologist | $1.5M |
| 4 | 1053710012 | $1.3M |
| 5 | 1326373697 | $1.2M |
| 6 | 1023420726 | $1.1M |
| 7 | 1508046251 | $942K |
| 8 | 1396714184 | $894K |
| 9 | 1174859425 | $811K |
| 10 | 1043272172 | $756K |
| 11 | 1184859894 | $739K |
| 12 | 1730136680 | $726K |
| 13 | 1457373342 | $697K |
| 14 | 1811958952 | $667K |
| 15 | 1033123146 | $667K |
| 16 | 1023011632 | $639K |
| 17 | 1265538060 | $607K |
| 18 | 1134214380 | $587K |
| 19 | 1922318047 | $587K |
| 20 | 1952327256 | $584K |
Showing top 20 of 991 providers billing this code