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

#1176 of 11K

S9328

HCPCS Procedure Code

HCPCS code S9328 is the #1,176 most-billed Medicaid procedure code, with $35.5M in payments across 168K claims from 2018–2024. The national median cost per claim is $175.94. Costs vary widely — the 90th percentile is $615.45 per claim, 3.5× the median.

Total Paid

$35.5M

0.00% of all spending

Total Claims

168K

Providers

13

Avg Cost/Claim

$211

National Cost Distribution

How much do providers bill per claim for S9328? Based on 12 providers billing this code nationally.

Median

$175.94

Average

$328.65

Std Dev

$497.56

Max

$1,800.90

Percentile Distribution (Cost per Claim)

p10
$35.67
p25
$53.25
Median
$175.94
p75
$319.23
p90
$615.45
p95
$1,161.79
p99
$1,673.08

50% of providers bill between $53.25 and $319.23 per claim for this code.

90% bill between $35.67 and $615.45.

Top 1% bill above $1,673.08.

About This Procedure

HCPCS code S9328 was billed by 13 providers across 168K claims, totaling $35.5M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$175.94

Providers Billing

12

National Spending

$35.5M

Avg/Median Ratio

1.87×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S9328

#ProviderTotal Paid
11750316014$8.5M
21679514509$7.9M
31770528994$6.5M
41801450291$5.9M
51336243393$5.6M
61750562534$457K
71295934537$228K
81992978365$134K
91881697118$82K
101346742376$27K
111447498647$8K
121427132265$3K
131871105288$0

Showing top 13 of 13 providers billing this code