#1468 of 11K

S8990

HCPCS Procedure Code

HCPCS code S8990 is the #1,468 most-billed Medicaid procedure code, with $22.1M in payments across 233K claims from 2018–2024. The national median cost per claim is $78.36.

Total Paid

$22.1M

0.00% of all spending

Total Claims

233K

Providers

Avg Cost/Claim

$95

National Cost Distribution

How much do providers bill per claim for S8990? Based on 66 providers billing this code nationally.

Median

$78.36

Average

$98.46

Std Dev

$81.31

Max

$592.05

Percentile Distribution (Cost per Claim)

p10

$57.79

p25

$66.80

Median

$78.36

p75

$96.65

p90

$121.10

p95

$220.49

p99

$418.85

50% of providers bill between $66.80 and $96.65 per claim for this code.

90% bill between $57.79 and $121.10.

Top 1% bill above $418.85.

About This Procedure

HCPCS code S8990 was billed by 68 providers across 233K claims, totaling $22.1M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.36

Providers Billing

National Spending

$22.1M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S8990

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1295285526	$3.8M	$117.73	1.5× median	Above 75th
2	Universal Rehabilitation And Fitness, Inc. Livingston, NJ · Clinic/Center, Rehabilitation	$2.2M	$81.09	1.0× median	Above Median
3	1326495615	$2.1M	$111.16	1.4× median	Above 75th
4	1417339763	$1.6M	$229.22	2.9× median	Top 10%
5	1891202313	$1.4M	$315.08	4.0× median	Top 10%
6	Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health	$1.1M	$81.67	1.0× median	Above Median
7	1235431453	$954K	$67.51	0.9× median	Below Median
8	1972754679	$674K	$90.08	1.1× median	Above Median
9	1811039225	$564K	$62.39	0.8× median	Below Median
10	1417156100	$467K	$77.12	1.0× median	Below Median
11	Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services	$438K	$77.47	1.0× median	Below Median
12	1558766329	$433K	$74.59	1.0× median	Below Median
13	1629618582	$429K	$180.37	2.3× median	Top 10%
14	Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	$410K	$70.68	0.9× median	Below Median
15	Bancroft A New Jersey Nonprofit Corporation Cherry Hill, NJ · Clinic/Center Rehabilitation	$371K	$80.98	1.0× median	Above Median
16	1750693677	$336K	$112.82	1.4× median	Above 75th
17	1689756439	$316K	$98.84	1.3× median	Above 75th
18	Berry Family Services Rowlett, TX · Case Management	$311K	$74.73	1.0× median	Below Median
19	1124783196	$277K	$111.05	1.4× median	Above 75th
20	1972700094	$251K	$65.76	0.8× median	Below Median

Showing top 20 of 68 providers billing this code

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