S9451
HCPCS Procedure Code
HCPCS code S9451 is the #1,631 most-billed Medicaid procedure code, with $17.4M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $0.35. Costs vary widely — the 90th percentile is $25.23 per claim, 72.1× the median.
Total Paid
$17.4M
0.00% of all spending
Total Claims
2.4M
Providers
994
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for S9451? Based on 398 providers billing this code nationally.
Median
$0.35
Average
$7.68
Std Dev
$18.30
Max
$110.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.02 and $3.53 per claim for this code.
90% bill between $0.00 and $25.23.
Top 1% bill above $81.37.
About This Procedure
HCPCS code S9451 was billed by 994 providers across 2.4M claims, totaling $17.4M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.35
Providers Billing
398
National Spending
$17.4M
Avg/Median Ratio
21.94×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9451
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902349335 | $3.7M |
| 2 | 1114429768 | $2.8M |
| 3 | 1023365046 | $1.9M |
| 4 | 1275949513 | $1.7M |
| 5 | 1174987978 | $1.2M |
| 6 | 1255700522 | $992K |
| 7 | 1639532617 | $626K |
| 8 | 1912513821 | $595K |
| 9 | 1578182408 | $498K |
| 10 | 1396962734 | $250K |
| 11 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $246K |
| 12 | 1962075267 | $222K |
| 13 | 1982187662 | $210K |
| 14 | 1083252621 | $201K |
| 15 | 1720217946 | $178K |
| 16 | 1255794194 | $161K |
| 17 | 1568845600 | $159K |
| 18 | 1881114619 | $98K |
| 19 | 1275795619 | $88K |
| 20 | 1740876812 | $88K |
Showing top 20 of 994 providers billing this code