S9125
Respite care, in the home, per diem
Respite care, in the home, per diem is the #573 most-billed Medicaid procedure code, with $141.9M in payments across 898K claims from 2018–2024. The national median cost per claim is $187.28. Costs vary widely — the 90th percentile is $571.22 per claim, 3.1× the median.
Total Paid
$141.9M
0.01% of all spending
Total Claims
898K
Providers
74
Avg Cost/Claim
$158
National Cost Distribution
How much do providers bill per claim for S9125? Based on 71 providers billing this code nationally.
Median
$187.28
Average
$291.45
Std Dev
$337.43
Max
$1,774.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $123.77 and $266.99 per claim for this code.
90% bill between $84.34 and $571.22.
Top 1% bill above $1,598.51.
About This Procedure
HCPCS code S9125 (Respite care, in the home, per diem) was billed by 74 providers across 898K claims, totaling $141.9M in Medicaid payments from 2018–2024. This code was used for 155K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$187.28
Providers Billing
71
National Spending
$141.9M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S9125
| # | Provider | Total Paid |
|---|---|---|
| 1 | Not Found Unknown, Unknown · Unknown | $22.5M |
| 2 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $20.7M |
| 3 | 1700174901 | $11.8M |
| 4 | Caregivers Home Health Tx Inc Richardson, TX · Nursing Care | $11.5M |
| 5 | Segnik Group Inc Houston, TX · Supports Brokerage | $5.2M |
| 6 | New Jersey Division Of Developmental Disabilities Hamilton, NJ · Day Training Developmentally Disabled Services | $4.9M |
| 7 | 1487960167 | $4.9M |
| 8 | Dungarvin Minnesota Llc Mendota Heights, MN · Community/Behavioral Health | $4.8M |
| 9 | 1285217364 | $4.2M |
| 10 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $4.0M |
| 11 | 1124158175 | $3.8M |
| 12 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $3.4M |
| 13 | Astrocare Class, Inc. Houston, TX · Home Health | $3.4M |
| 14 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $3.3M |
| 15 | 1083349781 | $3.3M |
| 16 | 1346572690 | $3.2M |
| 17 | 1568619484 | $2.9M |
| 18 | 1336177492 | $2.5M |
| 19 | 1225286081 | $2.5M |
| 20 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $2.1M |
Showing top 20 of 74 providers billing this code