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

#4508 of 11K

S9503

HCPCS Procedure Code

HCPCS code S9503 is the #4,508 most-billed Medicaid procedure code, with $542K in payments across 3K claims from 2018–2024. The national median cost per claim is $205.52.

Total Paid

$542K

0.00% of all spending

Total Claims

3K

Providers

10

Avg Cost/Claim

$178

National Cost Distribution

How much do providers bill per claim for S9503? Based on 10 providers billing this code nationally.

Median

$205.52

Average

$226.98

Std Dev

$116.76

Max

$456.20

Percentile Distribution (Cost per Claim)

p10
$120.20
p25
$146.84
Median
$205.52
p75
$260.88
p90
$379.72
p95
$417.96
p99
$448.55

50% of providers bill between $146.84 and $260.88 per claim for this code.

90% bill between $120.20 and $379.72.

Top 1% bill above $448.55.

About This Procedure

HCPCS code S9503 was billed by 10 providers across 3K claims, totaling $542K in Medicaid payments from 2018–2024. This code was used for 801 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$205.52

Providers Billing

10

National Spending

$542K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9503

#ProviderTotal Paid
1Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$179K
21831241033$170K
31043339807$81K
41114099488$37K
51881727998$22K
61285600072$14K
71619478047$13K
81518036458$11K
91033166244$8K
101699854950$8K

Showing top 10 of 10 providers billing this code