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#3836 of 11K

P9021

HCPCS Procedure Code

HCPCS code P9021 is the #3,836 most-billed Medicaid procedure code, with $1.1M in payments across 14K claims from 2018–2024. The national median cost per claim is $40.37. Costs vary widely — the 90th percentile is $132.78 per claim, 3.3× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

14K

Providers

32

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for P9021? Based on 29 providers billing this code nationally.

Median

$40.37

Average

$60.15

Std Dev

$55.50

Max

$250.33

Percentile Distribution (Cost per Claim)

p10
$10.44
p25
$31.07
Median
$40.37
p75
$69.53
p90
$132.78
p95
$163.36
p99
$228.96

50% of providers bill between $31.07 and $69.53 per claim for this code.

90% bill between $10.44 and $132.78.

Top 1% bill above $228.96.

About This Procedure

HCPCS code P9021 was billed by 32 providers across 14K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.37

Providers Billing

29

National Spending

$1.1M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for P9021

#ProviderTotal Paid
1University Of California Irvine

Orange, CA · General Acute Care Hospital

$616K
2Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$129K
31306991211$63K
4Kaiser Foundation Hospitals

Downey, CA · General Acute Care Hospital

$53K
51134274897$41K
61356496772$38K
7Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$31K
81013062769$24K
9New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$19K
10Upmc Magee-womens Hospital

Pittsburgh, PA · General Acute Care Hospital

$16K
111992968150$14K
12Kaiser Foundation Hospitals

Baldwin Park, CA · General Acute Care Hospital

$11K
131336294040$11K
14Kaiser Foundation Hospitals

Anaheim, CA · General Acute Care Hospital

$8K
151821143777$8K
16The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$5K
17Upmc Presbyterian Shadyside

Pittsburgh, PA · Clinic/Center

$5K
181376698043$3K
191225033020$3K
20Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$2K

Showing top 20 of 32 providers billing this code