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#133 of 11K

S9122

Home health aide or certified nurse, per hour

Home health aide or certified nurse, per hour is the #133 most-billed Medicaid procedure code, with $1.43B in payments across 12.2M claims from 2018–2024. The national median cost per claim is $116.67.

Total Paid

$1.43B

0.13% of all spending

Total Claims

12.2M

Providers

666

Avg Cost/Claim

$117

National Cost Distribution

How much do providers bill per claim for S9122? Based on 643 providers billing this code nationally.

Median

$116.67

Average

$158.00

Std Dev

$250.87

Max

$3,903.31

Percentile Distribution (Cost per Claim)

p10
$48.71
p25
$81.01
Median
$116.67
p75
$169.97
p90
$229.67
p95
$326.38
p99
$977.40

50% of providers bill between $81.01 and $169.97 per claim for this code.

90% bill between $48.71 and $229.67.

Top 1% bill above $977.40.

About This Procedure

HCPCS code S9122 (Home health aide or certified nurse, per hour) was billed by 666 providers across 12.2M claims, totaling $1.43B in Medicaid payments from 2018–2024. This code was used for 638K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$116.67

Providers Billing

643

National Spending

$1.43B

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9122

#ProviderTotal Paid
1Teamselect Home Care Of Colorado Llc

Aurora, CO · Home Health

$146.7M
21972108348$34.8M
31710582184$25.1M
41245648500$24.5M
51003969114$20.5M
61982994406$20.4M
71992213540$18.5M
81881708642$18.4M
91154844868$17.4M
10Extended Nursing Personnel Chha, Llc

Brooklyn, NY · Home Health

$17.2M
111326619537$14.9M
12Efcc Acquisition Corp

Pittsburgh, PA · Home Health

$14.8M
131407416092$13.1M
14Teamselect Home Care Of Colorado Llc

Pueblo, CO · Home Health

$12.5M
151093104721$12.3M
161235599184$12.1M
171588684815$12.0M
181780096487$11.2M
191164877791$11.2M
201508989666$10.9M

Showing top 20 of 666 providers billing this code