S9430
HCPCS Procedure Code
HCPCS code S9430 is the #903 most-billed Medicaid procedure code, with $60.8M in payments across 221K claims from 2018–2024. The national median cost per claim is $42.75. Costs vary widely — the 90th percentile is $143.74 per claim, 3.4× the median.
Total Paid
$60.8M
0.01% of all spending
Total Claims
221K
Providers
98
Avg Cost/Claim
$276
National Cost Distribution
How much do providers bill per claim for S9430? Based on 56 providers billing this code nationally.
Median
$42.75
Average
$268.85
Std Dev
$864.96
Max
$4,104.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.99 and $79.61 per claim for this code.
90% bill between $20.27 and $143.74.
Top 1% bill above $3,996.18.
About This Procedure
HCPCS code S9430 was billed by 98 providers across 221K claims, totaling $60.8M in Medicaid payments from 2018–2024. This code was used for 192K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.75
Providers Billing
56
National Spending
$60.8M
Avg/Median Ratio
6.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9430
| # | Provider | Total Paid |
|---|---|---|
| 1 | Washington Institute For Coagulation Seattle, WA · Pharmacy, Specialty Pharmacy | $20.2M |
| 2 | Mississippi Band Of Choctaw Indians Choctaw, MS · General Acute Care Hospital | $12.2M |
| 3 | 1053799403 | $11.3M |
| 4 | 1083700686 | $6.3M |
| 5 | 1477708469 | $5.4M |
| 6 | 1881915031 | $1.8M |
| 7 | 1104822931 | $1.2M |
| 8 | 1790902906 | $742K |
| 9 | 1053311860 | $326K |
| 10 | 1417355579 | $227K |
| 11 | 1255647806 | $217K |
| 12 | 1972688919 | $164K |
| 13 | 1245206507 | $109K |
| 14 | 1346226750 | $102K |
| 15 | 1922105154 | $62K |
| 16 | 1184774796 | $47K |
| 17 | 1871783753 | $41K |
| 18 | 1255401477 | $38K |
| 19 | 1073839114 | $33K |
| 20 | 1396049706 | $28K |
Showing top 20 of 98 providers billing this code