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#429 of 11K

S9342

Home infusion therapy, continuous or intermittent, per diem

Home infusion therapy, continuous or intermittent, per diem is the #429 most-billed Medicaid procedure code, with $239.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $176.25. Costs vary widely — the 90th percentile is $467.24 per claim, 2.7× the median.

Total Paid

$239.0M

0.02% of all spending

Total Claims

3.4M

Providers

190

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for S9342? Based on 183 providers billing this code nationally.

Median

$176.25

Average

$210.37

Std Dev

$194.19

Max

$893.80

Percentile Distribution (Cost per Claim)

p10
$16.32
p25
$38.08
Median
$176.25
p75
$310.70
p90
$467.24
p95
$600.71
p99
$788.09

50% of providers bill between $38.08 and $310.70 per claim for this code.

90% bill between $16.32 and $467.24.

Top 1% bill above $788.09.

About This Procedure

HCPCS code S9342 (Home infusion therapy, continuous or intermittent, per diem) was billed by 190 providers across 3.4M claims, totaling $239.0M in Medicaid payments from 2018–2024. This code was used for 535K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$176.25

Providers Billing

183

National Spending

$239.0M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9342

#ProviderTotal Paid
11184653388$16.6M
21134175581$11.7M
31992741060$9.2M
41720033715$8.9M
51366501496$8.6M
61952440604$8.3M
71033166244$8.1M
81003862020$7.9M
91568474716$7.9M
101083793566$7.8M
111235209081$7.7M
12Option Care Enterprises Inc.

Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy

$7.6M
131902182637$6.5M
141477647337$5.7M
151174693592$5.6M
161457658486$5.2M
171235329228$5.1M
181518036458$4.5M
191255336517$3.8M
201710057500$3.5M

Showing top 20 of 190 providers billing this code