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

#5861 of 11K

P9041

HCPCS Procedure Code

HCPCS code P9041 is the #5,861 most-billed Medicaid procedure code, with $127K in payments across 3K claims from 2018–2024. The national median cost per claim is $45.17. Costs vary widely — the 90th percentile is $176.25 per claim, 3.9× the median.

Total Paid

$127K

0.00% of all spending

Total Claims

3K

Providers

13

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for P9041? Based on 12 providers billing this code nationally.

Median

$45.17

Average

$80.55

Std Dev

$93.32

Max

$321.43

Percentile Distribution (Cost per Claim)

p10
$15.16
p25
$22.20
Median
$45.17
p75
$89.21
p90
$176.25
p95
$242.93
p99
$305.73

50% of providers bill between $22.20 and $89.21 per claim for this code.

90% bill between $15.16 and $176.25.

Top 1% bill above $305.73.

About This Procedure

HCPCS code P9041 was billed by 13 providers across 3K claims, totaling $127K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.17

Providers Billing

12

National Spending

$127K

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for P9041

#ProviderTotal Paid
1State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$35K
2Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$25K
3Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$16K
4Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$15K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$13K
61073518007$6K
71235196510$5K
81356307581$4K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$4K
10Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$2K
11Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$2K
12Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$75
13Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$0

Showing top 13 of 13 providers billing this code