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#1130 of 11K

S9470

Nutritional counseling

Nutritional counseling is the #1,130 most-billed Medicaid procedure code, with $39.0M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $16.62. Costs vary widely — the 90th percentile is $78.32 per claim, 4.7× the median.

Total Paid

$39.0M

0.00% of all spending

Total Claims

1.4M

Providers

838

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for S9470? Based on 613 providers billing this code nationally.

Median

$16.62

Average

$30.14

Std Dev

$45.37

Max

$467.61

Percentile Distribution (Cost per Claim)

p10
$0.12
p25
$1.46
Median
$16.62
p75
$34.55
p90
$78.32
p95
$124.69
p99
$214.97

50% of providers bill between $1.46 and $34.55 per claim for this code.

90% bill between $0.12 and $78.32.

Top 1% bill above $214.97.

About This Procedure

HCPCS code S9470 (Nutritional counseling) was billed by 838 providers across 1.4M claims, totaling $39.0M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.62

Providers Billing

613

National Spending

$39.0M

Avg/Median Ratio

1.81×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S9470

#ProviderTotal Paid
1Sunterra Health, Inc.

Costa Mesa, CA · Home Delivered Meals

$3.5M
21932227790$2.6M
3Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$2.3M
41003011602$1.8M
51821511262$1.7M
6Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$1.6M
71972146694$1.4M
8Purfoods Llc

Ankeny, IA · Home Delivered Meals

$1.1M
91578539342$838K
101669663712$814K
11Tangelo - Intend Inc.

Birmingham, MI · Medical Foods Supplier

$794K
12Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$787K
131235430380$770K
14Saginaw County Community Mental Health Authority

Saginaw, MI · Community/Behavioral Health

$692K
151053623702$608K
161821288606$584K
171134394539$575K
18Seattle-king County Dept Of Public Health

Seattle, WA · Case Manager/Care Coordinator

$564K
19County Of Washtenaw

Ypsilanti, MI · Clinic/Center, Mental Health (Including Community Mental Health Center)

$549K
201992859888$535K

Showing top 20 of 838 providers billing this code