#344 of 11K

S3620

Newborn metabolic screening panel

Newborn metabolic screening panel is the #344 most-billed Medicaid procedure code, with $385.2M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $11.82. Costs vary widely — the 90th percentile is $146.86 per claim, 12.4× the median.

Total Paid

$385.2M

0.04% of all spending

Total Claims

1.5M

Providers

166

Avg Cost/Claim

$250

National Cost Distribution

How much do providers bill per claim for S3620? Based on 85 providers billing this code nationally.

Median

$11.82

Average

$54.97

Std Dev

$87.42

Max

$606.36

Percentile Distribution (Cost per Claim)

p10

$0.00

p25

$0.98

Median

$11.82

p75

$95.75

p90

$146.86

p95

$165.32

p99

$331.97

50% of providers bill between $0.98 and $95.75 per claim for this code.

90% bill between $0.00 and $146.86.

Top 1% bill above $331.97.

About This Procedure

HCPCS code S3620 (Newborn metabolic screening panel) was billed by 166 providers across 1.5M claims, totaling $385.2M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.82

Providers Billing

National Spending

$385.2M

Avg/Median Ratio

4.65×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S3620

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Texas Department Of State Health Austin, TX · Clinical Medical Laboratory	$370.5M	$279.70	23.7× median	Top 10%
2	1528180874	$7.8M	$61.84	5.2× median	Above Median
3	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$1.9M	$98.62	8.3× median	Above 75th
4	1407813660	$734K	$188.18	15.9× median	Top 10%
5	Genetic Disease Screening Program State Of Ca Richmond, CA · Clinical Medical Laboratory	$724K	$166.71	14.1× median	Top 10%
6	County Of Ventura Ventura, CA · Clinic/Center, Emergency Care	$668K	$148.71	12.6× median	Top 10%
7	1194820001	$495K	$103.67	8.8× median	Above 75th
8	1518387679	$458K	$61.91	5.2× median	Above Median
9	Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital	$449K	$145.05	12.3× median	Above 75th
10	1922033547	$292K	$141.11	11.9× median	Above 75th
11	1023000569	$237K	$146.62	12.4× median	Above 75th
12	1730171265	$166K	$147.73	12.5× median	Top 10%
13	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$146K	$132.59	11.2× median	Above 75th
14	1144237272	$138K	$134.06	11.3× median	Above 75th
15	1780676221	$110K	$139.80	11.8× median	Above 75th
16	1275720377	$109K	$143.74	12.2× median	Above 75th
17	1891938122	$89K	$147.01	12.4× median	Top 10%
18	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$44K	$72.57	6.1× median	Above Median
19	1205162955	$28K	$103.69	8.8× median	Above 75th
20	1063441293	$27K	$95.75	8.1× median	Above 75th

Showing top 20 of 166 providers billing this code

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