Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7270 of 11K

G9501

HCPCS Procedure Code

HCPCS code G9501 is the #7,270 most-billed Medicaid procedure code, with $23K in payments across 3,233 claims from 2018–2024. The national median cost per claim is $12.63. Costs vary widely — the 90th percentile is $72.95 per claim, 5.8× the median.

Total Paid

$23K

0.00% of all spending

Total Claims

3,233

Providers

26

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for G9501? Based on 4 providers billing this code nationally.

Median

$12.63

Average

$29.72

Std Dev

$44.11

Max

$93.53

Percentile Distribution (Cost per Claim)

p10
$0.16
p25
$0.26
Median
$12.63
p75
$42.09
p90
$72.95
p95
$83.24
p99
$91.47

50% of providers bill between $0.26 and $42.09 per claim for this code.

90% bill between $0.16 and $72.95.

Top 1% bill above $91.47.

About This Procedure

HCPCS code G9501 was billed by 26 providers across 3,233 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 2,816 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.63

Providers Billing

4

National Spending

$23K

Avg/Median Ratio

2.35×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9501

#ProviderTotal Paid
11922092568$22K
21275994303$1K
31942214846$27
41861451858$4
51083669121$0
61326450156$0
71770667289$0
81396396917$0
91689091076$0
101942200761$0
111265540314$0
121609866003$0
131144268145$0
141851390850$0
151003571076$0
161679684948$0
171346554656$0
181144279613$0
191033136080$0
201932136405$0

Showing top 20 of 26 providers billing this code