S9351
HCPCS Procedure Code
HCPCS code S9351 is the #757 most-billed Medicaid procedure code, with $87.5M in payments across 225K claims from 2018–2024. The national median cost per claim is $268.01. Costs vary widely — the 90th percentile is $683.05 per claim, 2.5× the median.
Total Paid
$87.5M
0.01% of all spending
Total Claims
225K
Providers
12
Avg Cost/Claim
$390
National Cost Distribution
How much do providers bill per claim for S9351? Based on 12 providers billing this code nationally.
Median
$268.01
Average
$313.09
Std Dev
$218.86
Max
$721.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $159.38 and $378.25 per claim for this code.
90% bill between $85.07 and $683.05.
Top 1% bill above $720.58.
About This Procedure
HCPCS code S9351 was billed by 12 providers across 225K claims, totaling $87.5M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$268.01
Providers Billing
12
National Spending
$87.5M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S9351
| # | Provider | Total Paid |
|---|---|---|
| 1 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $74.1M |
| 2 | 1386892933 | $4.6M |
| 3 | 1427366590 | $3.5M |
| 4 | 1730227455 | $2.2M |
| 5 | 1851309595 | $1.1M |
| 6 | 1255336517 | $776K |
| 7 | 1376631457 | $769K |
| 8 | 1508890450 | $277K |
| 9 | 1104093830 | $83K |
| 10 | 1902182637 | $66K |
| 11 | 1356408587 | $47K |
| 12 | 1639231442 | $6K |
Showing top 12 of 12 providers billing this code