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#2564 of 11K

P9047

HCPCS Procedure Code

HCPCS code P9047 is the #2,564 most-billed Medicaid procedure code, with $4.9M in payments across 45K claims from 2018–2024. The national median cost per claim is $98.13. Costs vary widely — the 90th percentile is $308.24 per claim, 3.1× the median.

Total Paid

$4.9M

0.00% of all spending

Total Claims

45K

Providers

79

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for P9047? Based on 79 providers billing this code nationally.

Median

$98.13

Average

$134.42

Std Dev

$128.45

Max

$739.15

Percentile Distribution (Cost per Claim)

p10
$8.92
p25
$53.90
Median
$98.13
p75
$168.93
p90
$308.24
p95
$358.41
p99
$524.43

50% of providers bill between $53.90 and $168.93 per claim for this code.

90% bill between $8.92 and $308.24.

Top 1% bill above $524.43.

About This Procedure

HCPCS code P9047 was billed by 79 providers across 45K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.13

Providers Billing

79

National Spending

$4.9M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for P9047

#ProviderTotal Paid
1Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$1.1M
21669472882$346K
31275566200$312K
4Dignity Health

Phoenix, AZ · Rehabilitation Unit

$294K
5Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$272K
6Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$187K
7Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$157K
8Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$149K
91538214556$139K
10Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$135K
11University Of Kentucky

Lexington, KY · General Acute Care Hospital

$124K
12Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$123K
131619928017$119K
141851397129$118K
15Mount Sinai Hospital

New York, NY · Ambulance

$111K
161992735088$89K
17San Juan Regional Medical Center, Inc.

Farmington, NM · Audiologist

$88K
18Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$86K
19Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$81K
20Hartford Hospital

Hartford, CT · General Acute Care Hospital

$77K

Showing top 20 of 79 providers billing this code