#1276 of 11K

S9379

HCPCS Procedure Code

HCPCS code S9379 is the #1,276 most-billed Medicaid procedure code, with $29.6M in payments across 284K claims from 2018–2024. The national median cost per claim is $70.89. Costs vary widely — the 90th percentile is $196.66 per claim, 2.8× the median.

Total Paid

$29.6M

0.00% of all spending

Total Claims

284K

Providers

131

Avg Cost/Claim

$104

National Cost Distribution

How much do providers bill per claim for S9379? Based on 127 providers billing this code nationally.

Median

$70.89

Average

$98.84

Std Dev

$92.42

Max

$620.93

Percentile Distribution (Cost per Claim)

p10

$23.60

p25

$37.67

Median

$70.89

p75

$133.59

p90

$196.66

p95

$224.47

p99

$474.12

50% of providers bill between $37.67 and $133.59 per claim for this code.

90% bill between $23.60 and $196.66.

Top 1% bill above $474.12.

About This Procedure

HCPCS code S9379 was billed by 131 providers across 284K claims, totaling $29.6M in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.89

Providers Billing

127

National Spending

$29.6M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9379

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Optum Women's And Children's Health, Llc Marietta, GA · Home Health	$3.5M	$224.83	3.2× median	Top 10%
2	1518036458	$3.5M	$505.44	7.1× median	Top 1%
3	1427132265	$2.3M	$217.44	3.1× median	Top 10%
4	1235209081	$1.8M	$620.93	8.8× median	Top 1%
5	1326279746	$1.3M	$40.10	0.6× median	Below Median
6	1710231733	$1.1M	$99.26	1.4× median	Above Median
7	1508890450	$1.0M	$105.12	1.5× median	Above Median
8	1104230176	$731K	$193.50	2.7× median	Above 75th
9	1831241033	$689K	$108.82	1.5× median	Above Median
10	1902182637	$679K	$111.47	1.6× median	Above Median
11	Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy	$677K	$73.68	1.0× median	Above Median
12	1437563418	$630K	$66.01	0.9× median	Below Median
13	1992788350	$585K	$163.88	2.3× median	Above 75th
14	1932266632	$539K	$108.41	1.5× median	Above Median
15	1972917946	$524K	$70.40	1.0× median	Below Median
16	1619478047	$504K	$69.60	1.0× median	Below Median
17	Option Care Enterprises Inc. Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy	$474K	$26.58	0.4× median	Below Median
18	Accredo Health Group Inc Warrendale, PA · Pharmacy, Community/Retail Pharmacy	$467K	$80.20	1.1× median	Above Median
19	1841350527	$363K	$112.10	1.6× median	Above Median
20	1619970845	$339K	$144.77	2.0× median	Above 75th

Showing top 20 of 131 providers billing this code

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