P9035
HCPCS Procedure Code
HCPCS code P9035 is the #4,339 most-billed Medicaid procedure code, with $652K in payments across 2K claims from 2018–2024. The national median cost per claim is $429.91.
Total Paid
$652K
0.00% of all spending
Total Claims
2K
Providers
10
Avg Cost/Claim
$303
National Cost Distribution
How much do providers bill per claim for P9035? Based on 9 providers billing this code nationally.
Median
$429.91
Average
$391.64
Std Dev
$213.47
Max
$687.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $211.74 and $464.53 per claim for this code.
90% bill between $168.26 and $645.76.
Top 1% bill above $683.71.
About This Procedure
HCPCS code P9035 was billed by 10 providers across 2K claims, totaling $652K in Medicaid payments from 2018–2024. This code was used for 786 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$429.91
Providers Billing
9
National Spending
$652K
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for P9035
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679660617 | $213K |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $154K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $104K |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $95K |
| 5 | University Of California Irvine Orange, CA · General Acute Care Hospital | $42K |
| 6 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $28K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $9K |
| 8 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $4K |
| 9 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $2K |
| 10 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $0 |
Showing top 10 of 10 providers billing this code