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#3573 of 11K

S9367

HCPCS Procedure Code

HCPCS code S9367 is the #3,573 most-billed Medicaid procedure code, with $1.5M in payments across 6K claims from 2018–2024. The national median cost per claim is $270.91. Costs vary widely — the 90th percentile is $780.12 per claim, 2.9× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

6K

Providers

12

Avg Cost/Claim

$261

National Cost Distribution

How much do providers bill per claim for S9367? Based on 12 providers billing this code nationally.

Median

$270.91

Average

$370.42

Std Dev

$286.60

Max

$854.10

Percentile Distribution (Cost per Claim)

p10
$58.16
p25
$176.60
Median
$270.91
p75
$607.49
p90
$780.12
p95
$820.38
p99
$847.35

50% of providers bill between $176.60 and $607.49 per claim for this code.

90% bill between $58.16 and $780.12.

Top 1% bill above $847.35.

About This Procedure

HCPCS code S9367 was billed by 12 providers across 6K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 822 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$270.91

Providers Billing

12

National Spending

$1.5M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9367

#ProviderTotal Paid
11518036458$415K
21447268230$232K
31952440604$211K
41114099488$199K
51033166244$132K
61184653388$92K
71619478047$72K
81568474716$61K
91043339807$35K
10Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$12K
11Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$10K
121013919240$8K

Showing top 12 of 12 providers billing this code