#2157 of 11K

95909

HCPCS Procedure Code

HCPCS code 95909 is the #2,157 most-billed Medicaid procedure code, with $8.4M in payments across 95K claims from 2018–2024. The national median cost per claim is $73.56.

Total Paid

$8.4M

0.00% of all spending

Total Claims

95K

Providers

496

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for 95909? Based on 487 providers billing this code nationally.

Median

$73.56

Average

$84.32

Std Dev

$54.47

Max

$605.30

Percentile Distribution (Cost per Claim)

p10

$38.80

p25

$51.16

Median

$73.56

p75

$101.00

p90

$142.33

p95

$183.11

p99

$280.44

50% of providers bill between $51.16 and $101.00 per claim for this code.

90% bill between $38.80 and $142.33.

Top 1% bill above $280.44.

About This Procedure

HCPCS code 95909 was billed by 496 providers across 95K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 87K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.56

Providers Billing

487

National Spending

$8.4M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95909

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$467K	$214.62	2.9× median	Top 10%
2	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$409K	$304.52	4.1× median	Top 1%
3	Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital	$209K	$90.05	1.2× median	Above Median
4	University Of Kentucky Lexington, KY · General Acute Care Hospital	$208K	$215.03	2.9× median	Top 10%
5	1073962528	$194K	$82.67	1.1× median	Above Median
6	Hartford Hospital Hartford, CT · General Acute Care Hospital	$190K	$236.25	3.2× median	Top 10%
7	1124003488	$188K	$85.41	1.2× median	Above Median
8	1275647851	$183K	$109.81	1.5× median	Above 75th
9	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$178K	$108.59	1.5× median	Above 75th
10	1528242906	$167K	$102.85	1.4× median	Above 75th
11	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$156K	$70.97	1.0× median	Below Median
12	1053345991	$155K	$174.21	2.4× median	Top 10%
13	1700837770	$134K	$74.76	1.0× median	Above Median
14	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$121K	$137.37	1.9× median	Above 75th
15	1679536627	$109K	$82.64	1.1× median	Above Median
16	1386661452	$106K	$196.67	2.7× median	Top 10%
17	1447314067	$106K	$67.08	0.9× median	Below Median
18	1437193265	$100K	$116.04	1.6× median	Above 75th
19	1578792271	$100K	$62.11	0.8× median	Below Median
20	1568403111	$95K	$210.13	2.9× median	Top 10%

Showing top 20 of 496 providers billing this code

Related Procedures

95911$47.6M 95913$35.6M 95912$28.5M 95910$16.4M 95908$2.2M

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