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#345 of 11K

S0201

Partial hospitalization services, per diem

Partial hospitalization services, per diem is the #345 most-billed Medicaid procedure code, with $384.8M in payments across 808K claims from 2018–2024. The national median cost per claim is $445.16.

Total Paid

$384.8M

0.04% of all spending

Total Claims

808K

Providers

143

Avg Cost/Claim

$476

National Cost Distribution

How much do providers bill per claim for S0201? Based on 136 providers billing this code nationally.

Median

$445.16

Average

$582.97

Std Dev

$954.07

Max

$10,284.62

Percentile Distribution (Cost per Claim)

p10
$222.13
p25
$365.28
Median
$445.16
p75
$489.16
p90
$653.96
p95
$1,729.76
p99
$2,949.26

50% of providers bill between $365.28 and $489.16 per claim for this code.

90% bill between $222.13 and $653.96.

Top 1% bill above $2,949.26.

About This Procedure

HCPCS code S0201 (Partial hospitalization services, per diem) was billed by 143 providers across 808K claims, totaling $384.8M in Medicaid payments from 2018–2024. This code was used for 72K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$445.16

Providers Billing

136

National Spending

$384.8M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S0201

#ProviderTotal Paid
1Galax Treatment Center, Llc

Galax, VA · Clinic/Center, Methadone Clinic

$81.8M
2Sbh El Paso Llc

Espanola, NM · Psychiatric Hospital

$24.9M
31437608437$17.9M
4P.r.i.e. Behavioral Health, Llc

Maricopa, AZ · Internal Medicine, Addiction Medicine

$16.3M
5Sunrise Native Wellness Llc

Scottsdale, AZ · Substance Abuse Rehabilitation Facility

$16.3M
6Sunrise Native Recovery, Llc

Scottsdale, AZ · Substance Abuse Rehabilitation Facility

$13.9M
71841205671$13.5M
81205486222$11.3M
91902955396$10.1M
101316698020$8.5M
111770948648$8.0M
121679709802$7.8M
131144631110$7.4M
141639228778$6.4M
151891188553$6.0M
161861560047$6.0M
171770852436$5.6M
181558415968$4.7M
191063077451$4.6M
201700596327$4.5M

Showing top 20 of 143 providers billing this code