P9011
HCPCS Procedure Code
HCPCS code P9011 is the #4,360 most-billed Medicaid procedure code, with $635K in payments across 40K claims from 2018–2024. The national median cost per claim is $2.78. Costs vary widely — the 90th percentile is $308.97 per claim, 111.1× the median.
Total Paid
$635K
0.00% of all spending
Total Claims
40K
Providers
31
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for P9011? Based on 31 providers billing this code nationally.
Median
$2.78
Average
$65.66
Std Dev
$119.18
Max
$372.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.03 and $65.91 per claim for this code.
90% bill between $0.48 and $308.97.
Top 1% bill above $366.80.
About This Procedure
HCPCS code P9011 was billed by 31 providers across 40K claims, totaling $635K in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.78
Providers Billing
31
National Spending
$635K
Avg/Median Ratio
23.62×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for P9011
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881626943 | $132K |
| 2 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $119K |
| 3 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $100K |
| 4 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $68K |
| 5 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $67K |
| 6 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $64K |
| 7 | 1952546616 | $27K |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $9K |
| 9 | 1699986331 | $8K |
| 10 | Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital | $7K |
| 11 | 1003960139 | $5K |
| 12 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $5K |
| 13 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $5K |
| 14 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $4K |
| 15 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $4K |
| 16 | 1538157508 | $2K |
| 17 | 1427176569 | $2K |
| 18 | 1972534147 | $2K |
| 19 | 1457341851 | $2K |
| 20 | 1902846306 | $1K |
Showing top 20 of 31 providers billing this code