#628 of 11K

S9128

Speech therapy, in the home, per diem

Speech therapy, in the home, per diem is the #628 most-billed Medicaid procedure code, with $121.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $72.77.

Total Paid

$121.6M

0.01% of all spending

Total Claims

1.2M

Providers

120

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for S9128? Based on 116 providers billing this code nationally.

Median

$72.77

Average

$84.48

Std Dev

$42.01

Max

$298.65

Percentile Distribution (Cost per Claim)

p10

$44.34

p25

$60.13

Median

$72.77

p75

$106.76

p90

$136.27

p95

$156.32

p99

$213.28

50% of providers bill between $60.13 and $106.76 per claim for this code.

90% bill between $44.34 and $136.27.

Top 1% bill above $213.28.

About This Procedure

HCPCS code S9128 (Speech therapy, in the home, per diem) was billed by 120 providers across 1.2M claims, totaling $121.6M in Medicaid payments from 2018–2024. This code was used for 312K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.77

Providers Billing

116

National Spending

$121.6M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9128

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1396926994	$40.7M	$133.05	1.8× median	Above 75th
2	1558493270	$11.0M	$77.41	1.1× median	Above Median
3	1962728071	$10.9M	$110.11	1.5× median	Above 75th
4	1396910840	$7.1M	$67.41	0.9× median	Below Median
5	1104198472	$6.0M	$77.62	1.1× median	Above Median
6	1720123870	$4.8M	$78.17	1.1× median	Above Median
7	1457534042	$3.9M	$85.75	1.2× median	Above Median
8	Easter Seals Delaware & Marylands Eastern Shore Inc New Castle, DE · Psychologist Intellectual & Developmental Disabilities	$3.5M	$105.17	1.4× median	Above Median
9	1598186868	$3.0M	$79.64	1.1× median	Above Median
10	1790751915	$2.8M	$123.54	1.7× median	Above 75th
11	Extended Nursing Personnel Chha, Llc Brooklyn, NY · Home Health	$2.7M	$167.12	2.3× median	Top 10%
12	Prime Home Health Services, Llc Brooklyn, NY · Home Health	$2.3M	$221.43	3.0× median	Top 1%
13	1104146109	$1.5M	$72.61	1.0× median	Below Median
14	1952441701	$1.3M	$108.97	1.5× median	Above 75th
15	1659374510	$1.0M	$78.31	1.1× median	Above Median
16	1003966748	$1.0M	$70.82	1.0× median	Below Median
17	1073788048	$958K	$112.33	1.5× median	Above 75th
18	1467705582	$931K	$77.67	1.1× median	Above Median
19	1659466647	$904K	$63.02	0.9× median	Below Median
20	1396882338	$897K	$75.60	1.0× median	Above Median

Showing top 20 of 120 providers billing this code

Related Procedures

S9124Nursing care, in the home; per hour$4.96B S9123Nursing care, in the home, by RN, per 15 minutes$2.34B S9122Home health aide or certified nurse, per hour$1.43B S9131Physical therapy, in the home, per diem$215.4M S9125Respite care, in the home, per diem$141.9M

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