HCPCS S0014 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary National Codes (Non-Medicare) • Non-Medicare Drug Codes |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Complexity Level | Low |
National average reimbursement for HCPCS S0014 by major payers:
$9.08
$2.96
$2.43
$2.52
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS S0014 | ||||||
United | S0014 | $2.92 | 1457396442 - RICHARD ABRAHAM | 263095354 - (OR) ICCO, LLC. | OR | Emergency Medicine Physician (207P00000X) |
United | S0014 | $2.92 | 1285658625 - ANN BOWERS | 911579410 - (WA) PHYSICIANS IMMEDIATE CARE MEDICAL CENTERS PS | OR | Emergency Medicine Physician (207P00000X) |
United | S0014 | $2.92 | 1942629126 - AMBER VESTER | 931251530 | OR | Family Medicine Physician (207Q00000X) |
United | S0014 | $2.92 | 1457396442 - RICHARD ABRAHAM | 930593500 - (OR) DOCTORS EMERGENCY ROOM CORP PC | OR | Emergency Medicine Physician (207P00000X) |
United | S0014 | $2.92 | 1063507762 - JOANNE O'BRIEN | 931251530 | OR | Family Nurse Practitioner (363LF0000X) |
United | S0014 | $2.92 | 1982855219 - WILLAMETTE COMMUNITY HEALTH SOLUTIONS, CASCADE HEALTH SOLUTIONS | 930421470 - (OR) WILLAMETTE COMMUNITY HEALTH SOLUTIONS | OR | Social Worker (104100000X) |
United | S0014 | $2.92 | 1134977564 - DYLAN GABLE | 930421470 - (OR) WILLAMETTE COMMUNITY HEALTH SOLUTIONS | OR | Hand Occupational Therapist (225XH1200X) |
United | S0014 | $2.92 | 1548859895 - ALICIA ENCINAS | 300394179 - (AZ) MIGUEL A ARENAS MD PC | CA | Family Nurse Practitioner (363LF0000X) |
United | S0014 | $2.92 | 1073638490 - SHARRON ACOSTA M.D.P.A. | 742979530 - SHARRON ACOSTA, M.D., P.A. | TX | Ophthalmology Physician (207W00000X) |
United | S0014 | $6.13 | 1073502985 - CHU CHEN | 42484572 | MA | Pediatrics Physician (208000000X) |
United | S0014 | $6.42 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | S0014 | $2.92 | 1366997355 - NATALIA HAYES | 930593500 - (OR) DOCTORS EMERGENCY ROOM CORP PC | OR | Adult Health Nurse Practitioner (363LA2200X) |
United | S0014 | $2.92 | 1285658625 - ANN BOWERS | 263095354 - (OR) ICCO, LLC. | OR | Emergency Medicine Physician (207P00000X) |
United | S0014 | $2.92 | 1962763185 - CELIA CHEUNG | 930593500 - (OR) DOCTORS EMERGENCY ROOM CORP PC | OR | Emergency Medicine Physician (207P00000X) |
United | S0014 | $3.81 | 1467406132 - EASTSIDE MEDICAL CENTER, LLC, PIEDMONT EASTSIDE MEDICAL CENTER | 582433432 | GA | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS S0014 vs. Other Non-Medicare Drug Codes Codes
The HCPCS S0014 code is part of the Temporary National Codes (Non-Medicare) services used for Non-Medicare Drug Codes. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS S0014 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| S0013-HCPCS | Low | Esketamine, nasal spray, 1 mg |
| S0014-HCPCS | Low | Tacrine hydrochloride, 10 mg |
| S0017-HCPCS | Low | Injection, aminocaproic acid, 5 grams |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0014 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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