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

#3402 of 11K

S9375

HCPCS Procedure Code

HCPCS code S9375 is the #3,402 most-billed Medicaid procedure code, with $1.8M in payments across 11K claims from 2018–2024. The national median cost per claim is $165.98.

Total Paid

$1.8M

0.00% of all spending

Total Claims

11K

Providers

15

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for S9375? Based on 15 providers billing this code nationally.

Median

$165.98

Average

$166.81

Std Dev

$49.22

Max

$249.04

Percentile Distribution (Cost per Claim)

p10
$103.36
p25
$139.79
Median
$165.98
p75
$194.31
p90
$232.50
p95
$238.28
p99
$246.89

50% of providers bill between $139.79 and $194.31 per claim for this code.

90% bill between $103.36 and $232.50.

Top 1% bill above $246.89.

About This Procedure

HCPCS code S9375 was billed by 15 providers across 11K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$165.98

Providers Billing

15

National Spending

$1.8M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9375

#ProviderTotal Paid
11114099488$617K
2Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$494K
31508890450$250K
41619478047$105K
51427132265$80K
61184661894$51K
71386047538$50K
81881727998$37K
91538147202$26K
101033166244$18K
111013919240$9K
121902182637$8K
131710057500$8K
141043339807$7K
151164665691$6K

Showing top 15 of 15 providers billing this code