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#602 of 11K

S9977

Home infusion therapy, unspecified

Home infusion therapy, unspecified is the #602 most-billed Medicaid procedure code, with $131.5M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $19.91. Costs vary widely — the 90th percentile is $75.00 per claim, 3.8× the median.

Total Paid

$131.5M

0.01% of all spending

Total Claims

4.2M

Providers

195

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for S9977? Based on 185 providers billing this code nationally.

Median

$19.91

Average

$35.42

Std Dev

$47.74

Max

$371.04

Percentile Distribution (Cost per Claim)

p10
$15.30
p25
$19.23
Median
$19.91
p75
$20.00
p90
$75.00
p95
$141.16
p99
$258.23

50% of providers bill between $19.23 and $20.00 per claim for this code.

90% bill between $15.30 and $75.00.

Top 1% bill above $258.23.

About This Procedure

HCPCS code S9977 (Home infusion therapy, unspecified) was billed by 195 providers across 4.2M claims, totaling $131.5M in Medicaid payments from 2018–2024. This code was used for 780K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.91

Providers Billing

185

National Spending

$131.5M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S9977

#ProviderTotal Paid
1Sunterra Health, Inc.

Costa Mesa, CA · Home Delivered Meals

$67.9M
21952019671$7.8M
3Purfoods Llc

Ankeny, IA · Home Delivered Meals

$3.9M
41942703574$3.4M
51508476201$2.3M
61316315179$1.3M
71124475900$1.2M
81154802247$1.2M
91366623316$1.2M
101356007025$1.1M
111255679403$1.1M
121730454604$893K
131497142442$876K
141851641500$852K
151427580158$804K
161851169585$803K
171881930162$793K
181053850735$778K
191972840775$761K
201083067169$687K

Showing top 20 of 195 providers billing this code