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#1410 of 11K

S9501

HCPCS Procedure Code

HCPCS code S9501 is the #1,410 most-billed Medicaid procedure code, with $24.0M in payments across 170K claims from 2018–2024. The national median cost per claim is $160.52. Costs vary widely — the 90th percentile is $338.85 per claim, 2.1× the median.

Total Paid

$24.0M

0.00% of all spending

Total Claims

170K

Providers

89

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for S9501? Based on 89 providers billing this code nationally.

Median

$160.52

Average

$188.12

Std Dev

$156.33

Max

$1,118.15

Percentile Distribution (Cost per Claim)

p10
$44.94
p25
$70.33
Median
$160.52
p75
$259.43
p90
$338.85
p95
$358.53
p99
$694.27

50% of providers bill between $70.33 and $259.43 per claim for this code.

90% bill between $44.94 and $338.85.

Top 1% bill above $694.27.

About This Procedure

HCPCS code S9501 was billed by 89 providers across 170K claims, totaling $24.0M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$160.52

Providers Billing

89

National Spending

$24.0M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9501

#ProviderTotal Paid
11831241033$2.3M
21285600072$1.8M
31114099488$1.5M
41457872632$1.5M
5Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$1.3M
61518036458$1.2M
71902182637$1.2M
81255336517$1.0M
91972894772$985K
101033166244$966K
111568474716$966K
121952440604$810K
131881727998$724K
141043339807$531K
151184653388$502K
161619970845$464K
171417907627$457K
181538147202$435K
191144321480$398K
201417472812$376K

Showing top 20 of 89 providers billing this code