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W0104
Billing code W0104
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $218K on code W0104 from 2018 through 2024, to 4 providers — the #5,364 code in the file by dollars. 100% of it was billed in Pennsylvania.
28Total paid$218K
24GClaims4,322
Paid per claim line$50.53
33Providers billing it4
Box 32 · Location
Where W0104 is billed
The largest of 1 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing W0104
| # | Provider | Location | Claims | Paid on W0104 |
|---|---|---|---|---|
| 1 | Woods Services INC | Langhorne, PA | 2,111 | $110K |
| 2 | Progressive Health of Pennsylvania INC. | Milford, PA | 625 | $42K |
| 3 | Mentor Abi | Fairview, PA | 209 | $40K |
| 4 | Albert Einstein Medical Center | Phila, PA | 1,377 | $26K |