W0016
HCPCS Procedure Code
HCPCS code W0016 is the #1,282 most-billed Medicaid procedure code, with $29.4M in payments across 415K claims from 2018–2024. The national median cost per claim is $72.46.
Total Paid
$29.4M
0.00% of all spending
Total Claims
415K
Providers
51
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for W0016? Based on 51 providers billing this code nationally.
Median
$72.46
Average
$74.02
Std Dev
$15.95
Max
$119.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $62.92 and $83.98 per claim for this code.
90% bill between $55.48 and $93.07.
Top 1% bill above $114.32.
About This Procedure
HCPCS code W0016 was billed by 51 providers across 415K claims, totaling $29.4M in Medicaid payments from 2018–2024. This code was used for 213K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.46
Providers Billing
51
National Spending
$29.4M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for W0016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407994684 | $6.8M |
| 2 | 1275908378 | $2.3M |
| 3 | 1154463800 | $2.1M |
| 4 | 1346209962 | $1.9M |
| 5 | 1629005764 | $1.5M |
| 6 | Service Access And Management Inc Reading, PA · Community/Behavioral Health | $1.3M |
| 7 | 1962513002 | $1.2M |
| 8 | 1093851289 | $1.1M |
| 9 | 1205956059 | $990K |
| 10 | 1457482606 | $897K |
| 11 | 1407978174 | $689K |
| 12 | 1114047966 | $670K |
| 13 | 1639206162 | $582K |
| 14 | 1639202534 | $532K |
| 15 | 1679796155 | $506K |
| 16 | 1497749709 | $499K |
| 17 | 1962550590 | $409K |
| 18 | 1558714022 | $386K |
| 19 | 1114060159 | $351K |
| 20 | 1427273911 | $349K |
Showing top 20 of 51 providers billing this code