HCPCS S0201 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) • Miscellaneous Provider Services |
| Common Place of Service | • None • 11 - Office • 57 - Non-residential Substance Abuse Treatment Facility |
| Complexity Level | Low |
National average reimbursement for HCPCS S0201 by major payers:
$100.15
$209.40
$358.68
$94.09
| 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 S0201 | ||||||
United | S0201 | $55.00 | 1841951696 - GABRIEL THERAPY GROUP | 873556172 - (FL) GABRIEL THERAPY GROUP | FL | Clinic/Center (261Q00000X) |
United | S0201 | $40.00 | 1518993765 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - KENDALL | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $40.00 | 1720039902 - PHYSIOTHERAPY ASSOCIATES INC, PHYSIO-ESTERO | 382617193 | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $60.00 | 1184386435 - H2 REHABILITATION SERVICES OF FLORIDA LLC, H2 HEALTH | 592504386 | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $60.00 | 1154418135 - KIDS SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, INC, KIDS SPOT | 200141478 | FL | Clinic/Center (261Q00000X) |
United | S0201 | $35.00 | 1629178645 - H2 REHABILITATION SERVICES OF FLORIDA LLC, H2 HEALTH | 592504386 | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $35.00 | 1952957276 - SLP BEE PEEPS, INC | 841900085 - (FL) SLP BEE PEEPS INC | FL | Clinic/Center (261Q00000X) |
United | S0201 | $40.00 | 1134335557 - COCONUT CREEK REHABILITATION INC, COCONUT CREEK THERAPY | 650725581 - (FL) COCONUT CREEK REHABILITATION INC | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $35.00 | 1316456452 - SPEECH AVENUES THERAPY CO, SPEECH PATHWAYS OF BREVARD INC | 822638923 - (FL) SPEECH AVENUES THERAPY CO | FL | Clinic/Center (261Q00000X) |
United | S0201 | $40.00 | 1609457399 - GENESIS HEALTH DEVELOPMENT, INC., BROOKS REHAB CENTER | 592249372 - (FL) GENESIS HEALTH DEVELOPMENT INC | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $60.00 | 1699708891 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - PALM BAY | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $60.00 | 1194265710 - LINDSEY R. LEESON, M.S., CCC-SLP, P.A. | 814300966 - (FL) LINDSEY R LEESON MS CCCSLP PA | FL | Clinic/Center (261Q00000X) |
United | S0201 | $55.00 | 1790428746 - H2 REHABILITATION SERVICES OF FLORIDA LLC, H2 HEALTH | 592504386 | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $55.00 | 1346839909 - CORA HEALTH SERVICES, INC, CORA PHYSICAL THERAPY - LEESBURG | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | S0201 | $60.00 | 1437301025 - ENVISION PHYSICAL THERAPY, INC | 263357524 - (FL) ENVISION PHYSICAL THERAPHY INC | FL | Clinic/Center (261Q00000X) |
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 S0201 vs. Other Miscellaneous Provider Services Codes
The HCPCS S0201 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Provider Services. 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 S0201 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 |
|---|---|---|
| S0199-HCPCS | Moderate | Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by HCG, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
| S0201-HCPCS | Low | Partial hospitalization services, less than 24 hours, per diem |
| S0207-HCPCS | Moderate | Paramedic intercept, non-hospital-based ALS service (non-voluntary), non-transport |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0201 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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