#4278 of 11K

S9441

HCPCS Procedure Code

HCPCS code S9441 is the #4,278 most-billed Medicaid procedure code, with $697K in payments across 39K claims from 2018–2024. The national median cost per claim is $8.16. Costs vary widely — the 90th percentile is $28.23 per claim, 3.5× the median.

Total Paid

$697K

0.00% of all spending

Total Claims

39K

Providers

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for S9441? Based on 43 providers billing this code nationally.

Median

$8.16

Average

$29.58

Std Dev

$108.23

Max

$704.97

Percentile Distribution (Cost per Claim)

p10

$0.58

p25

$2.03

Median

$8.16

p75

$15.82

p90

$28.23

p95

$56.59

p99

$472.78

50% of providers bill between $2.03 and $15.82 per claim for this code.

90% bill between $0.58 and $28.23.

Top 1% bill above $472.78.

About This Procedure

HCPCS code S9441 was billed by 67 providers across 39K claims, totaling $697K in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.16

Providers Billing

National Spending

$697K

Avg/Median Ratio

3.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S9441

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1669617668	$370K	$152.14	18.6× median	Top 10%
2	1992738942	$202K	$704.97	86.4× median	Top 1%
3	1093024101	$34K	$59.02	7.2× median	Top 10%
4	1164668299	$22K	$9.39	1.2× median	Above Median
5	1831443423	$19K	$19.16	2.3× median	Above 75th
6	1083759641	$9K	$7.85	1.0× median	Below Median
7	1710149372	$8K	$7.70	0.9× median	Below Median
8	1457624082	$4K	$18.98	2.3× median	Above 75th
9	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$3K	$29.80	3.7× median	Top 10%
10	Montefiore Medical Center Bronx, NY · Anesthesiology	$3K	$8.16	1.0× median	Below Median
11	1053774703	$3K	$3.40	0.4× median	Below Median
12	1891749339	$3K	$17.31	2.1× median	Above 75th
13	1083627103	$2K	$21.54	2.6× median	Above 75th
14	1700297405	$2K	$1.43	0.2× median	Below Median
15	Mainehealth Portland, ME · Emergency Medicine	$2K	$9.78	1.2× median	Above Median
16	1477850592	$2K	$14.33	1.8× median	Above Median
17	1093171621	$1K	$17.38	2.1× median	Above 75th
18	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$1K	$2.34	0.3× median	Below Median
19	1588691620	$1K	$34.65	4.2× median	Top 10%
20	1598144768	$971	$12.30	1.5× median	Above Median

Showing top 20 of 67 providers billing this code

Related Procedures

S9445$57.1M S9451$17.4M S9435$8.5M S9446$7.8M S9443$1.9M

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