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#1482 of 11K

S9560

HCPCS Procedure Code

HCPCS code S9560 is the #1,482 most-billed Medicaid procedure code, with $21.8M in payments across 169K claims from 2018–2024. The national median cost per claim is $119.30.

Total Paid

$21.8M

0.00% of all spending

Total Claims

169K

Providers

10

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for S9560? Based on 10 providers billing this code nationally.

Median

$119.30

Average

$124.52

Std Dev

$62.76

Max

$207.31

Percentile Distribution (Cost per Claim)

p10
$44.93
p25
$76.00
Median
$119.30
p75
$178.56
p90
$205.65
p95
$206.48
p99
$207.14

50% of providers bill between $76.00 and $178.56 per claim for this code.

90% bill between $44.93 and $205.65.

Top 1% bill above $207.14.

About This Procedure

HCPCS code S9560 was billed by 10 providers across 169K claims, totaling $21.8M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$119.30

Providers Billing

10

National Spending

$21.8M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9560

#ProviderTotal Paid
1Optum Women's And Children's Health, Llc

Marietta, GA · Home Health

$16.0M
21386892933$3.1M
31336206002$1.2M
41427366590$833K
51679083109$353K
61104093830$115K
71376631457$106K
81457381782$42K
91114367448$37K
101942218748$960

Showing top 10 of 10 providers billing this code

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