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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Galax Treatment Center, Llc Galax, VA · Clinic/Center, Methadone Clinic | $81.8M |
| 2 | Sbh El Paso Llc Espanola, NM · Psychiatric Hospital | $24.9M |
| 3 | 1437608437 | $17.9M |
| 4 | P.r.i.e. Behavioral Health, Llc Maricopa, AZ · Internal Medicine, Addiction Medicine | $16.3M |
| 5 | Sunrise Native Wellness Llc Scottsdale, AZ · Substance Abuse Rehabilitation Facility | $16.3M |
| 6 | Sunrise Native Recovery, Llc Scottsdale, AZ · Substance Abuse Rehabilitation Facility | $13.9M |
| 7 | 1841205671 | $13.5M |
| 8 | 1205486222 | $11.3M |
| 9 | 1902955396 | $10.1M |
| 10 | 1316698020 | $8.5M |
| 11 | 1770948648 | $8.0M |
| 12 | 1679709802 | $7.8M |
| 13 | 1144631110 | $7.4M |
| 14 | 1639228778 | $6.4M |
| 15 | 1891188553 | $6.0M |
| 16 | 1861560047 | $6.0M |
| 17 | 1770852436 | $5.6M |
| 18 | 1558415968 | $4.7M |
| 19 | 1063077451 | $4.6M |
| 20 | 1700596327 | $4.5M |
Showing top 20 of 143 providers billing this code