S0221
HCPCS Procedure Code
HCPCS code S0221 is the #5,833 most-billed Medicaid procedure code, with $131K in payments across 4K claims from 2018–2024. The national median cost per claim is $86.82. Costs vary widely — the 90th percentile is $281.58 per claim, 3.2× the median.
Total Paid
$131K
0.00% of all spending
Total Claims
4K
Providers
14
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for S0221? Based on 10 providers billing this code nationally.
Median
$86.82
Average
$126.46
Std Dev
$99.32
Max
$312.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.45 and $169.19 per claim for this code.
90% bill between $46.95 and $281.58.
Top 1% bill above $309.51.
About This Procedure
HCPCS code S0221 was billed by 14 providers across 4K claims, totaling $131K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.82
Providers Billing
10
National Spending
$131K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S0221
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710971429 | $41K |
| 2 | 1033218565 | $30K |
| 3 | 1396774147 | $24K |
| 4 | 1407108335 | $10K |
| 5 | 1689710568 | $9K |
| 6 | 1669474425 | $8K |
| 7 | 1174513444 | $3K |
| 8 | 1306812060 | $2K |
| 9 | 1922058510 | $2K |
| 10 | 1215930573 | $1K |
| 11 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $0 |
| 12 | 1184691693 | $0 |
| 13 | 1689754046 | $0 |
| 14 | 1144522855 | $0 |
Showing top 14 of 14 providers billing this code