59409
Vaginal delivery only
Vaginal delivery only is the #330 most-billed Medicaid procedure code, with $412.7M in payments across 684K claims from 2018–2024. The national median cost per claim is $619.91.
Total Paid
$412.7M
0.04% of all spending
Total Claims
684K
Providers
2K
Avg Cost/Claim
$604
National Cost Distribution
How much do providers bill per claim for 59409? Based on 2K providers billing this code nationally.
Median
$619.91
Average
$670.06
Std Dev
$334.57
Max
$7,542.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $516.62 and $811.22 per claim for this code.
90% bill between $364.10 and $958.60.
Top 1% bill above $1,608.47.
About This Procedure
HCPCS code 59409 (Vaginal delivery only) was billed by 2K providers across 684K claims, totaling $412.7M in Medicaid payments from 2018–2024. This code was used for 650K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$619.91
Providers Billing
2K
National Spending
$412.7M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 59409
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710959135 | $17.3M |
| 2 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $6.9M |
| 3 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $6.3M |
| 4 | 1275774333 | $5.2M |
| 5 | Ut Physicians Houston, TX · Emergency Medicine | $4.8M |
| 6 | 1225063761 | $4.3M |
| 7 | 1790856235 | $4.2M |
| 8 | 1063076453 | $4.1M |
| 9 | 1417961137 | $3.9M |
| 10 | Mountain Park Health Center Phoenix, AZ · Clinic/Center, Federally Qualified Health Center (FQHC) | $3.8M |
| 11 | 1144304817 | $3.7M |
| 12 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $3.5M |
| 13 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $3.5M |
| 14 | 1447299797 | $3.3M |
| 15 | 1902982093 | $3.3M |
| 16 | 1558407189 | $3.2M |
| 17 | 1639104854 | $3.1M |
| 18 | 1093145377 | $2.9M |
| 19 | 1376528729 | $2.8M |
| 20 | 1235177924 | $2.8M |
Showing top 20 of 2K providers billing this code