S9480
Intensive outpatient psychiatric services, per diem
Intensive outpatient psychiatric services, per diem is the #250 most-billed Medicaid procedure code, with $570.6M in payments across 3.0M claims from 2018–2024. The national median cost per claim is $135.70. Costs vary widely — the 90th percentile is $398.02 per claim, 2.9× the median.
Total Paid
$570.6M
0.05% of all spending
Total Claims
3.0M
Providers
727
Avg Cost/Claim
$190
National Cost Distribution
How much do providers bill per claim for S9480? Based on 693 providers billing this code nationally.
Median
$135.70
Average
$223.67
Std Dev
$247.72
Max
$3,384.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $108.66 and $249.80 per claim for this code.
90% bill between $86.68 and $398.02.
Top 1% bill above $950.00.
About This Procedure
HCPCS code S9480 (Intensive outpatient psychiatric services, per diem) was billed by 727 providers across 3.0M claims, totaling $570.6M in Medicaid payments from 2018–2024. This code was used for 508K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$135.70
Providers Billing
693
National Spending
$570.6M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S9480
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295811321 | $15.8M |
| 2 | 1942217054 | $11.4M |
| 3 | 1568536118 | $11.1M |
| 4 | Compass Health Everett, WA · Community/Behavioral Health | $10.5M |
| 5 | 1306442744 | $9.3M |
| 6 | 1437747136 | $9.1M |
| 7 | 1275583726 | $9.0M |
| 8 | Cornerstone Healing Center, Llc Scottsdale, AZ · Counselor, Addiction (Substance Use Disorder) | $8.9M |
| 9 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $8.6M |
| 10 | 1982978425 | $8.3M |
| 11 | 1750002291 | $8.0M |
| 12 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $7.8M |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $6.9M |
| 14 | Rehema Behavioral Health Clinic Llc Phoenix, AZ · Clinical Nurse Specialist, Psych/Mental Health | $6.4M |
| 15 | 1366815508 | $6.3M |
| 16 | 1023611381 | $6.1M |
| 17 | 1679709802 | $6.1M |
| 18 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $6.0M |
| 19 | 1700377983 | $5.8M |
| 20 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $5.3M |
Showing top 20 of 727 providers billing this code