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#4947 of 11K

S9472

HCPCS Procedure Code

HCPCS code S9472 is the #4,947 most-billed Medicaid procedure code, with $343K in payments across 5K claims from 2018–2024. The national median cost per claim is $64.56.

Total Paid

$343K

0.00% of all spending

Total Claims

5K

Providers

10

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for S9472? Based on 10 providers billing this code nationally.

Median

$64.56

Average

$75.40

Std Dev

$37.93

Max

$171.08

Percentile Distribution (Cost per Claim)

p10
$51.05
p25
$56.90
Median
$64.56
p75
$77.86
p90
$108.50
p95
$139.79
p99
$164.82

50% of providers bill between $56.90 and $77.86 per claim for this code.

90% bill between $51.05 and $108.50.

Top 1% bill above $164.82.

About This Procedure

HCPCS code S9472 was billed by 10 providers across 5K claims, totaling $343K in Medicaid payments from 2018–2024. This code was used for 781 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.56

Providers Billing

10

National Spending

$343K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9472

#ProviderTotal Paid
11548296106$117K
21780633289$105K
3The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$33K
4Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$26K
5Summa Health System

Akron, OH · General Acute Care Hospital

$17K
61962464016$15K
71912969064$10K
81043233984$8K
91336144732$7K
101912007931$6K

Showing top 10 of 10 providers billing this code