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

#1193 of 11K

S9363

HCPCS Procedure Code

HCPCS code S9363 is the #1,193 most-billed Medicaid procedure code, with $34.2M in payments across 226K claims from 2018–2024. The national median cost per claim is $719.76.

Total Paid

$34.2M

0.00% of all spending

Total Claims

226K

Providers

4

Avg Cost/Claim

$151

National Cost Distribution

How much do providers bill per claim for S9363? Based on 4 providers billing this code nationally.

Median

$719.76

Average

$575.23

Std Dev

$322.13

Max

$766.99

Percentile Distribution (Cost per Claim)

p10
$273.64
p25
$542.49
Median
$719.76
p75
$752.50
p90
$761.19
p95
$764.09
p99
$766.41

50% of providers bill between $542.49 and $752.50 per claim for this code.

90% bill between $273.64 and $761.19.

Top 1% bill above $766.41.

About This Procedure

HCPCS code S9363 was billed by 4 providers across 226K claims, totaling $34.2M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$719.76

Providers Billing

4

National Spending

$34.2M

Avg/Median Ratio

0.80×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.