S9460
HCPCS Procedure Code
HCPCS code S9460 is the #2,057 most-billed Medicaid procedure code, with $9.6M in payments across 52K claims from 2018–2024. The national median cost per claim is $97.87. Costs vary widely — the 90th percentile is $529.98 per claim, 5.4× the median.
Total Paid
$9.6M
0.00% of all spending
Total Claims
52K
Providers
11
Avg Cost/Claim
$186
National Cost Distribution
How much do providers bill per claim for S9460? Based on 10 providers billing this code nationally.
Median
$97.87
Average
$196.46
Std Dev
$218.84
Max
$597.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $57.19 and $315.42 per claim for this code.
90% bill between $19.21 and $529.98.
Top 1% bill above $590.66.
About This Procedure
HCPCS code S9460 was billed by 11 providers across 52K claims, totaling $9.6M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.87
Providers Billing
10
National Spending
$9.6M
Avg/Median Ratio
2.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9460
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326033788 | $3.4M |
| 2 | 1154374775 | $2.2M |
| 3 | 1780209882 | $1.5M |
| 4 | 1174095822 | $1.4M |
| 5 | 1376093211 | $957K |
| 6 | 1720187362 | $45K |
| 7 | 1104906569 | $19K |
| 8 | 1528345519 | $3K |
| 9 | 1205859691 | $2K |
| 10 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $90 |
| 11 | 1740390756 | $0 |
Showing top 11 of 11 providers billing this code