Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#586 of 11K

S9500

HCPCS Procedure Code

HCPCS code S9500 is the #586 most-billed Medicaid procedure code, with $138.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $144.40. Costs vary widely — the 90th percentile is $356.31 per claim, 2.5× the median.

Total Paid

$138.1M

0.01% of all spending

Total Claims

1.1M

Providers

265

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for S9500? Based on 264 providers billing this code nationally.

Median

$144.40

Average

$189.13

Std Dev

$181.70

Max

$1,249.01

Percentile Distribution (Cost per Claim)

p10
$40.92
p25
$68.75
Median
$144.40
p75
$240.96
p90
$356.31
p95
$455.52
p99
$1,087.97

50% of providers bill between $68.75 and $240.96 per claim for this code.

90% bill between $40.92 and $356.31.

Top 1% bill above $1,087.97.

About This Procedure

HCPCS code S9500 was billed by 265 providers across 1.1M claims, totaling $138.1M in Medicaid payments from 2018–2024. This code was used for 209K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$144.40

Providers Billing

264

National Spending

$138.1M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9500

#ProviderTotal Paid
11831241033$7.2M
21518036458$5.4M
31285600072$4.7M
41538147202$4.2M
51114099488$3.7M
61902182637$3.6M
71457872632$3.4M
81992777510$3.2M
91255336517$3.1M
101568474716$2.9M
111952440604$2.8M
121881727998$2.7M
13Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$2.6M
141447268230$2.5M
151043339807$2.3M
161033166244$2.2M
171346270527$2.2M
181518912344$2.1M
191972894772$2.1M
201316935851$2.1M

Showing top 20 of 265 providers billing this code