P9040
HCPCS Procedure Code
HCPCS code P9040 is the #1,380 most-billed Medicaid procedure code, with $25.1M in payments across 105K claims from 2018–2024. The national median cost per claim is $210.57. Costs vary widely — the 90th percentile is $491.29 per claim, 2.3× the median.
Total Paid
$25.1M
0.00% of all spending
Total Claims
105K
Providers
113
Avg Cost/Claim
$240
National Cost Distribution
How much do providers bill per claim for P9040? Based on 110 providers billing this code nationally.
Median
$210.57
Average
$239.27
Std Dev
$192.25
Max
$1,066.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $75.35 and $362.98 per claim for this code.
90% bill between $21.64 and $491.29.
Top 1% bill above $702.37.
About This Procedure
HCPCS code P9040 was billed by 113 providers across 105K claims, totaling $25.1M in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$210.57
Providers Billing
110
National Spending
$25.1M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for P9040
| # | Provider | Total Paid |
|---|---|---|
| 1 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $3.0M |
| 2 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $1.8M |
| 3 | State Of Connecticut Farmington, CT · Counselor, Professional | $1.6M |
| 4 | 1164493847 | $1.3M |
| 5 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $1.1M |
| 6 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $1.0M |
| 7 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $1.0M |
| 8 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.0M |
| 9 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $963K |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $866K |
| 11 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $803K |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $782K |
| 13 | Mount Sinai Hospital New York, NY · Ambulance | $686K |
| 14 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $683K |
| 15 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $523K |
| 16 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $443K |
| 17 | 1033112230 | $428K |
| 18 | 1548315401 | $404K |
| 19 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $380K |
| 20 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $344K |
Showing top 20 of 113 providers billing this code