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#4777 of 11K

S9455

HCPCS Procedure Code

HCPCS code S9455 is the #4,777 most-billed Medicaid procedure code, with $409K in payments across 8K claims from 2018–2024. The national median cost per claim is $30.00.

Total Paid

$409K

0.00% of all spending

Total Claims

8K

Providers

23

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for S9455? Based on 21 providers billing this code nationally.

Median

$30.00

Average

$37.05

Std Dev

$32.85

Max

$137.73

Percentile Distribution (Cost per Claim)

p10
$13.24
p25
$29.88
Median
$30.00
p75
$30.00
p90
$46.09
p95
$125.22
p99
$135.23

50% of providers bill between $29.88 and $30.00 per claim for this code.

90% bill between $13.24 and $46.09.

Top 1% bill above $135.23.

About This Procedure

HCPCS code S9455 was billed by 23 providers across 8K claims, totaling $409K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.00

Providers Billing

21

National Spending

$409K

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9455

#ProviderTotal Paid
11396837951$311K
21427269521$22K
31891778114$15K
41710196670$13K
51831697267$12K
61669680567$7K
71033150875$5K
8United Health Centers Of The San Joaquin Valley

Reedley, CA · Case Manager/Care Coordinator

$4K
91962610600$3K
101649481623$3K
111104906569$2K
121487759858$2K
131851311138$2K
141124239231$2K
151821593971$1K
161558632570$870
171003255464$633
181124533492$420
19United Health Centers Of The San Joaquin Valley

Fresno, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$390
201083624738$250

Showing top 20 of 23 providers billing this code