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

#9013 of 11K

G9643

HCPCS Procedure Code

HCPCS code G9643 is the #9,013 most-billed Medicaid procedure code, with $552 in payments across 16K claims from 2018–2024. The national median cost per claim is $1.17.

Total Paid

$552

0.00% of all spending

Total Claims

16K

Providers

21

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G9643? Based on 2 providers billing this code nationally.

Median

$1.17

Average

$1.17

Std Dev

$1.22

Max

$2.04

Percentile Distribution (Cost per Claim)

p10
$0.48
p25
$0.74
Median
$1.17
p75
$1.61
p90
$1.86
p95
$1.95
p99
$2.02

50% of providers bill between $0.74 and $1.61 per claim for this code.

90% bill between $0.48 and $1.86.

Top 1% bill above $2.02.

About This Procedure

HCPCS code G9643 was billed by 21 providers across 16K claims, totaling $552 in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.17

Providers Billing

2

National Spending

$552

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9643

#ProviderTotal Paid
11710110499$436
21811442874$116
31215993092$0
41407821796$0
51669581997$0
61235468083$0
71649226515$0
81336528926$0
91780616094$0
101962760249$0
111285658310$0
121427076553$0
131477582526$0
141821654666$0
151457444069$0
161083655567$0
171750794681$0
181619278439$0
191699723791$0
201225210818$0

Showing top 20 of 21 providers billing this code