S9123
Nursing care, in the home, by RN, per 15 minutes
Nursing care, in the home, by RN, per 15 minutes is the #84 most-billed Medicaid procedure code, with $2.34B in payments across 9.2M claims from 2018–2024. The national median cost per claim is $124.86. Costs vary widely — the 90th percentile is $554.18 per claim, 4.4× the median.
Total Paid
$2.34B
0.21% of all spending
Total Claims
9.2M
Providers
948
Avg Cost/Claim
$254
National Cost Distribution
How much do providers bill per claim for S9123? Based on 909 providers billing this code nationally.
Median
$124.86
Average
$261.30
Std Dev
$410.13
Max
$5,664.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $71.07 and $371.23 per claim for this code.
90% bill between $32.78 and $554.18.
Top 1% bill above $1,755.59.
About This Procedure
HCPCS code S9123 (Nursing care, in the home, by RN, per 15 minutes) was billed by 948 providers across 9.2M claims, totaling $2.34B in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$124.86
Providers Billing
909
National Spending
$2.34B
Avg/Median Ratio
2.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9123
| # | Provider | Total Paid |
|---|---|---|
| 1 | Loving Hands Home Health Agency Inc. Fort Myers, FL · Home Health | $51.2M |
| 2 | Maxim Healthcare Services, Inc. Maitland, FL · Home Health | $42.7M |
| 3 | Statewide Healthcare Services Inc Jackson, MS · Nursing Care | $40.7M |
| 4 | Apex Human Services Llc Secane, PA · Home Health | $40.0M |
| 5 | White Glove Community Care, Inc. Brick, NJ · Case Management | $34.9M |
| 6 | 1598901100 | $34.2M |
| 7 | 1760667182 | $33.3M |
| 8 | 1780101378 | $32.9M |
| 9 | Peds To Go Inc Orlando, FL · Registered Nurse Infusion Therapy | $30.8M |
| 10 | 1831234301 | $30.5M |
| 11 | 1588684815 | $30.2M |
| 12 | Nova Rehabilitation Inc. Miami, FL · Home Health | $30.2M |
| 13 | 1174546063 | $30.2M |
| 14 | 1447522685 | $29.7M |
| 15 | 1720396542 | $28.7M |
| 16 | Bayada Home Health Care Inc. Toms River, NJ · Home Health | $27.7M |
| 17 | 1245323294 | $27.5M |
| 18 | New England Home Care Inc. Rocky Hill, CT · Home Health | $25.8M |
| 19 | Helping U Homecare, Inc. New York, NY · Home Health | $25.2M |
| 20 | 1043327463 | $25.0M |
Showing top 20 of 948 providers billing this code