#3319 of 11K

S9443

HCPCS Procedure Code

HCPCS code S9443 is the #3,319 most-billed Medicaid procedure code, with $1.9M in payments across 22K claims from 2018–2024. The national median cost per claim is $52.46. Costs vary widely — the 90th percentile is $113.72 per claim, 2.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

22K

Providers

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for S9443? Based on 32 providers billing this code nationally.

Median

$52.46

Average

$61.88

Std Dev

$61.95

Max

$300.00

Percentile Distribution (Cost per Claim)

p10

$2.24

p25

$22.44

Median

$52.46

p75

$72.06

p90

$113.72

p95

$156.95

p99

$271.32

50% of providers bill between $22.44 and $72.06 per claim for this code.

90% bill between $2.24 and $113.72.

Top 1% bill above $271.32.

About This Procedure

HCPCS code S9443 was billed by 41 providers across 22K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.46

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9443

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1700092822	$1.6M	$207.49	4.0× median	Top 10%
2	1790306819	$78K	$61.08	1.2× median	Above Median
3	1134123193	$74K	$85.21	1.6× median	Above 75th
4	1477611283	$67K	$61.30	1.2× median	Above Median
5	1356444814	$34K	$37.81	0.7× median	Below Median
6	1720022379	$33K	$84.65	1.6× median	Above 75th
7	1396751772	$17K	$37.83	0.7× median	Below Median
8	1659528818	$13K	$113.74	2.2× median	Top 10%
9	1912234048	$8K	$41.70	0.8× median	Below Median
10	1346244126	$8K	$16.48	0.3× median	Below Median
11	1073852281	$6K	$115.60	2.2× median	Top 10%
12	1376874966	$5K	$53.92	1.0× median	Above Median
13	1518064948	$5K	$62.23	1.2× median	Above Median
14	1932116191	$5K	$55.93	1.1× median	Above Median
15	Fairview Hospital Cleveland, OH · General Acute Care Hospital	$4K	$43.49	0.8× median	Below Median
16	1912423260	$4K	$6.56	0.1× median	Below Median
17	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$4K	$1.02	0.0× median	Below Median
18	1144972746	$4K	$300.00	5.7× median	Top 1%
19	1407271927	$2K	$107.37	2.0× median	Above 75th
20	1689838229	$2K	$113.54	2.2× median	Above 75th

Showing top 20 of 41 providers billing this code

Related Procedures

S9445$57.1M S9451$17.4M S9435$8.5M S9446$7.8M S9452$1.1M

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