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#1183 of 11K

S9366

HCPCS Procedure Code

HCPCS code S9366 is the #1,183 most-billed Medicaid procedure code, with $34.8M in payments across 144K claims from 2018–2024. The national median cost per claim is $394.05.

Total Paid

$34.8M

0.00% of all spending

Total Claims

144K

Providers

47

Avg Cost/Claim

$241

National Cost Distribution

How much do providers bill per claim for S9366? Based on 47 providers billing this code nationally.

Median

$394.05

Average

$451.90

Std Dev

$289.23

Max

$1,626.01

Percentile Distribution (Cost per Claim)

p10
$158.12
p25
$220.52
Median
$394.05
p75
$639.16
p90
$761.10
p95
$846.56
p99
$1,316.98

50% of providers bill between $220.52 and $639.16 per claim for this code.

90% bill between $158.12 and $761.10.

Top 1% bill above $1,316.98.

About This Procedure

HCPCS code S9366 was billed by 47 providers across 144K claims, totaling $34.8M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$394.05

Providers Billing

47

National Spending

$34.8M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9366

#ProviderTotal Paid
11033166244$3.5M
21114099488$3.1M
31518036458$2.7M
41144321480$2.7M
5Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$2.2M
6Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$2.0M
71831241033$1.6M
81679531693$1.4M
91184653388$1.3M
101992788350$1.3M
111902182637$954K
121285600072$881K
131952440604$802K
141972894772$713K
151417472812$686K
161841350527$683K
171295738409$668K
181619478047$652K
191013462480$627K
201558439745$621K

Showing top 20 of 47 providers billing this code