P9016
HCPCS Procedure Code
HCPCS code P9016 is the #841 most-billed Medicaid procedure code, with $68.7M in payments across 319K claims from 2018–2024. The national median cost per claim is $122.26. Costs vary widely — the 90th percentile is $404.70 per claim, 3.3× the median.
Total Paid
$68.7M
0.01% of all spending
Total Claims
319K
Providers
506
Avg Cost/Claim
$215
National Cost Distribution
How much do providers bill per claim for P9016? Based on 485 providers billing this code nationally.
Median
$122.26
Average
$181.66
Std Dev
$193.38
Max
$1,537.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.97 and $260.54 per claim for this code.
90% bill between $14.17 and $404.70.
Top 1% bill above $1,009.55.
About This Procedure
HCPCS code P9016 was billed by 506 providers across 319K claims, totaling $68.7M in Medicaid payments from 2018–2024. This code was used for 238K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$122.26
Providers Billing
485
National Spending
$68.7M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for P9016
| # | Provider | Total Paid |
|---|---|---|
| 1 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $3.4M |
| 2 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $3.4M |
| 3 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $2.7M |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.3M |
| 5 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2.2M |
| 6 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $2.0M |
| 7 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.9M |
| 8 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $1.8M |
| 9 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $1.6M |
| 10 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1.5M |
| 11 | 1427360700 | $1.5M |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.3M |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.3M |
| 14 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $1.1M |
| 15 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $1.1M |
| 16 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $1.1M |
| 17 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $1.0M |
| 18 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $1.0M |
| 19 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $922K |
| 20 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $875K |
Showing top 20 of 506 providers billing this code