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#2840 of 11K

S9365

HCPCS Procedure Code

HCPCS code S9365 is the #2,840 most-billed Medicaid procedure code, with $3.4M in payments across 24K claims from 2018–2024. The national median cost per claim is $188.23. Costs vary widely — the 90th percentile is $496.91 per claim, 2.6× the median.

Total Paid

$3.4M

0.00% of all spending

Total Claims

24K

Providers

11

Avg Cost/Claim

$140

National Cost Distribution

How much do providers bill per claim for S9365? Based on 11 providers billing this code nationally.

Median

$188.23

Average

$243.21

Std Dev

$187.21

Max

$532.52

Percentile Distribution (Cost per Claim)

p10
$27.57
p25
$101.08
Median
$188.23
p75
$374.59
p90
$496.91
p95
$514.72
p99
$528.96

50% of providers bill between $101.08 and $374.59 per claim for this code.

90% bill between $27.57 and $496.91.

Top 1% bill above $528.96.

About This Procedure

HCPCS code S9365 was billed by 11 providers across 24K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$188.23

Providers Billing

11

National Spending

$3.4M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9365

#ProviderTotal Paid
11144321480$1.5M
21518036458$811K
31619478047$441K
41922074749$238K
5Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$162K
61457658486$58K
71417907627$48K
81538147111$39K
91184653388$32K
101013919240$22K
111770528994$600

Showing top 11 of 11 providers billing this code