P9037
HCPCS Procedure Code
HCPCS code P9037 is the #2,477 most-billed Medicaid procedure code, with $5.5M in payments across 12K claims from 2018–2024. The national median cost per claim is $401.87.
Total Paid
$5.5M
0.00% of all spending
Total Claims
12K
Providers
21
Avg Cost/Claim
$463
National Cost Distribution
How much do providers bill per claim for P9037? Based on 21 providers billing this code nationally.
Median
$401.87
Average
$460.97
Std Dev
$341.40
Max
$1,562.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $229.48 and $542.28 per claim for this code.
90% bill between $157.09 and $779.09.
Top 1% bill above $1,425.20.
About This Procedure
HCPCS code P9037 was billed by 21 providers across 12K claims, totaling $5.5M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$401.87
Providers Billing
21
National Spending
$5.5M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for P9037
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.6M |
| 2 | 1164493847 | $1.2M |
| 3 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $769K |
| 4 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $573K |
| 5 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $524K |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $236K |
| 7 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $178K |
| 8 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $155K |
| 9 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $134K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $24K |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $20K |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $18K |
| 13 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $14K |
| 14 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $12K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $11K |
| 16 | 1699884858 | $8K |
| 17 | 1780653618 | $8K |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $8K |
| 19 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $5K |
| 20 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $5K |
Showing top 20 of 21 providers billing this code