S9976
HCPCS Procedure Code
HCPCS code S9976 is the #694 most-billed Medicaid procedure code, with $103.3M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $64.43. Costs vary widely — the 90th percentile is $211.80 per claim, 3.3× the median.
Total Paid
$103.3M
0.01% of all spending
Total Claims
1.8M
Providers
100
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for S9976? Based on 99 providers billing this code nationally.
Median
$64.43
Average
$112.91
Std Dev
$150.13
Max
$1,157.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.68 and $143.28 per claim for this code.
90% bill between $27.00 and $211.80.
Top 1% bill above $620.66.
About This Procedure
HCPCS code S9976 was billed by 100 providers across 1.8M claims, totaling $103.3M in Medicaid payments from 2018–2024. This code was used for 294K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.43
Providers Billing
99
National Spending
$103.3M
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S9976
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750363305 | $7.7M |
| 2 | 1841325172 | $5.2M |
| 3 | 1235478363 | $4.6M |
| 4 | 1639201262 | $4.6M |
| 5 | 1558493916 | $4.4M |
| 6 | 1700987591 | $4.2M |
| 7 | 1851457451 | $3.8M |
| 8 | 1366659906 | $3.3M |
| 9 | 1629330691 | $2.7M |
| 10 | 1851623169 | $2.6M |
| 11 | 1861747578 | $2.6M |
| 12 | 1003247362 | $2.5M |
| 13 | 1750791505 | $2.4M |
| 14 | Community Mental Health Authority Of Clinton Eaton Ingham Counties Lansing, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $2.3M |
| 15 | 1831651330 | $2.3M |
| 16 | 1962551648 | $2.2M |
| 17 | 1346393683 | $2.2M |
| 18 | 1508010679 | $2.0M |
| 19 | 1023482825 | $1.8M |
| 20 | 1457686230 | $1.7M |
Showing top 20 of 100 providers billing this code