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#39 of 11K

S9124

Nursing care, in the home; per hour

Nursing care, in the home; per hour is the #39 most-billed Medicaid procedure code, with $4.96B in payments across 12.0M claims from 2018–2024. The national median cost per claim is $400.25.

Total Paid

$4.96B

0.45% of all spending

Total Claims

12.0M

Providers

665

Avg Cost/Claim

$413

National Cost Distribution

How much do providers bill per claim for S9124? Based on 654 providers billing this code nationally.

Median

$400.25

Average

$478.60

Std Dev

$760.16

Max

$11,178.37

Percentile Distribution (Cost per Claim)

p10
$50.59
p25
$133.47
Median
$400.25
p75
$549.65
p90
$736.10
p95
$1,004.64
p99
$3,656.17

50% of providers bill between $133.47 and $549.65 per claim for this code.

90% bill between $50.59 and $736.10.

Top 1% bill above $3,656.17.

About This Procedure

HCPCS code S9124 (Nursing care, in the home; per hour) was billed by 665 providers across 12.0M claims, totaling $4.96B in Medicaid payments from 2018–2024. This code was used for 913K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$400.25

Providers Billing

654

National Spending

$4.96B

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9124

#ProviderTotal Paid
1Pioneer Homecare Inc.

Bronx, NY · Home Health

$81.3M
2Greater New York Home Care Llc

Brooklyn, NY · Home Health

$77.7M
3Peds To Go Inc

Orlando, FL · Registered Nurse Infusion Therapy

$75.7M
4Maxim Healthcare Services, Inc.

Maitland, FL · Home Health

$74.4M
51689924896$69.8M
61104848134$69.2M
7White Glove Community Care, Inc.

Brick, NJ · Case Management

$69.0M
81346572690$64.7M
91174546063$62.3M
10Aoc Tx Llc

Sherman, TX · Home Health

$61.2M
11Cr & Ra Investments Llc

Sunrise, FL · Home Health

$55.7M
12Bayada Home Health Care Inc.

Toms River, NJ · Home Health

$53.1M
131497078315$51.5M
141104920487$50.9M
151245446327$50.8M
161760667182$49.0M
17Preferred Home Health Care & Nursing Services Inc.

Mount Laurel, NJ · Home Health

$48.6M
18Act Home Health Services Inc

Philadelphia, PA · Home Health

$48.0M
191043327463$47.8M
201124261284$44.6M

Showing top 20 of 665 providers billing this code