S9999
HCPCS Procedure Code
HCPCS code S9999 is the #1,654 most-billed Medicaid procedure code, with $16.8M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $5.38. Costs vary widely — the 90th percentile is $18.07 per claim, 3.4× the median.
Total Paid
$16.8M
0.00% of all spending
Total Claims
2.0M
Providers
619
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for S9999? Based on 459 providers billing this code nationally.
Median
$5.38
Average
$12.37
Std Dev
$44.54
Max
$682.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.37 and $10.17 per claim for this code.
90% bill between $0.02 and $18.07.
Top 1% bill above $220.15.
About This Procedure
HCPCS code S9999 was billed by 619 providers across 2.0M claims, totaling $16.8M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.38
Providers Billing
459
National Spending
$16.8M
Avg/Median Ratio
2.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9999
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $3.2M |
| 2 | 1346588225 | $1.3M |
| 3 | The Fogarty Center Barrington, RI · In Home Supportive Care | $1.0M |
| 4 | 1275703084 | $780K |
| 5 | 1851395271 | $452K |
| 6 | 1043398407 | $446K |
| 7 | 1730159617 | $436K |
| 8 | 1215079678 | $397K |
| 9 | 1538165642 | $377K |
| 10 | 1013207109 | $346K |
| 11 | 1346662160 | $305K |
| 12 | 1487668927 | $303K |
| 13 | 1164493003 | $298K |
| 14 | Sequel Of New Mexico Llc Albuquerque, NM · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $298K |
| 15 | At-home Personal Care Services Llc. Santa Teresa, NM · Home Health | $279K |
| 16 | 1902986904 | $264K |
| 17 | New Mexico Consumer Direct Personal Care Llc Albuquerque, NM · Home Health | $234K |
| 18 | 1871838672 | $200K |
| 19 | 1184960874 | $173K |
| 20 | 1568576056 | $160K |
Showing top 20 of 619 providers billing this code