Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#785 of 11K

S9088

Services provided in an urgent care center

Services provided in an urgent care center is the #785 most-billed Medicaid procedure code, with $80.2M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $28.22.

Total Paid

$80.2M

0.01% of all spending

Total Claims

3.6M

Providers

1K

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for S9088? Based on 1K providers billing this code nationally.

Median

$28.22

Average

$28.83

Std Dev

$37.09

Max

$261.22

Percentile Distribution (Cost per Claim)

p10
$0.42
p25
$7.96
Median
$28.22
p75
$32.52
p90
$34.61
p95
$68.75
p99
$261.22

50% of providers bill between $7.96 and $32.52 per claim for this code.

90% bill between $0.42 and $34.61.

Top 1% bill above $261.22.

About This Procedure

HCPCS code S9088 (Services provided in an urgent care center) was billed by 1K providers across 3.6M claims, totaling $80.2M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.22

Providers Billing

1K

National Spending

$80.2M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9088

#ProviderTotal Paid
11790185577$7.2M
21215219878$2.5M
31689603748$2.4M
41497159560$2.1M
51528435492$1.8M
61205087517$1.6M
71679724983$1.6M
81841728979$1.5M
91154425338$1.4M
101306940580$1.3M
111093034811$1.2M
121164422630$1.2M
131902080005$1.2M
141215229901$1.2M
15West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$1.2M
161164716643$1.1M
171780849406$1.1M
181093748170$1.1M
191043466634$1.0M
201720182983$982K

Showing top 20 of 1K providers billing this code