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

#7750 of 11K

S9454

HCPCS Procedure Code

HCPCS code S9454 is the #7,750 most-billed Medicaid procedure code, with $11K in payments across 1,780 claims from 2018–2024. The national median cost per claim is $8.37. Costs vary widely — the 90th percentile is $24.41 per claim, 2.9× the median.

Total Paid

$11K

0.00% of all spending

Total Claims

1,780

Providers

6

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for S9454? Based on 5 providers billing this code nationally.

Median

$8.37

Average

$11.95

Std Dev

$11.75

Max

$31.00

Percentile Distribution (Cost per Claim)

p10
$2.55
p25
$4.74
Median
$8.37
p75
$14.53
p90
$24.41
p95
$27.70
p99
$30.34

50% of providers bill between $4.74 and $14.53 per claim for this code.

90% bill between $2.55 and $24.41.

Top 1% bill above $30.34.

About This Procedure

HCPCS code S9454 was billed by 6 providers across 1,780 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 617 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.37

Providers Billing

5

National Spending

$11K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9454

#ProviderTotal Paid
11831697267$6K
21023639085$3K
3Jefferson Center For Mental Health

Wheat Ridge, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$875
41073375895$713
51265565824$180
61760068472$0

Showing top 6 of 6 providers billing this code