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

#3648 of 11K

S9359

HCPCS Procedure Code

HCPCS code S9359 is the #3,648 most-billed Medicaid procedure code, with $1.4M in payments across 20K claims from 2018–2024. The national median cost per claim is $62.59.

Total Paid

$1.4M

0.00% of all spending

Total Claims

20K

Providers

34

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for S9359? Based on 34 providers billing this code nationally.

Median

$62.59

Average

$70.47

Std Dev

$42.10

Max

$205.91

Percentile Distribution (Cost per Claim)

p10
$34.42
p25
$47.31
Median
$62.59
p75
$80.54
p90
$125.11
p95
$157.19
p99
$191.03

50% of providers bill between $47.31 and $80.54 per claim for this code.

90% bill between $34.42 and $125.11.

Top 1% bill above $191.03.

About This Procedure

HCPCS code S9359 was billed by 34 providers across 20K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.59

Providers Billing

34

National Spending

$1.4M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9359

#ProviderTotal Paid
11073054714$180K
21104230176$139K
31134175581$112K
41710057500$94K
51326117664$92K
61568400687$90K
71033166244$90K
81013462480$85K
91033111208$73K
101184653388$66K
111508890450$61K
121184785891$56K
131619970845$39K
141053412643$32K
151881727998$26K
161952440604$23K
171518036458$21K
181427132265$18K
191376631457$18K
201679531693$16K

Showing top 20 of 34 providers billing this code