S9097
Home visit for wound care
Home visit for wound care is the #1,442 most-billed Medicaid procedure code, with $23.1M in payments across 298K claims from 2018–2024. The national median cost per claim is $65.67.
Total Paid
$23.1M
0.00% of all spending
Total Claims
298K
Providers
34
Avg Cost/Claim
$78
National Cost Distribution
How much do providers bill per claim for S9097? Based on 28 providers billing this code nationally.
Median
$65.67
Average
$190.65
Std Dev
$636.05
Max
$3,433.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.07 and $82.39 per claim for this code.
90% bill between $51.62 and $99.51.
Top 1% bill above $2,550.80.
About This Procedure
HCPCS code S9097 (Home visit for wound care) was billed by 34 providers across 298K claims, totaling $23.1M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.67
Providers Billing
28
National Spending
$23.1M
Avg/Median Ratio
2.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S9097
| # | Provider | Total Paid |
|---|---|---|
| 1 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $8.7M |
| 2 | 1922091107 | $2.5M |
| 3 | 1275812935 | $2.2M |
| 4 | 1841624178 | $1.3M |
| 5 | 1063525210 | $1.2M |
| 6 | 1043219553 | $765K |
| 7 | 1205948817 | $746K |
| 8 | 1356439905 | $676K |
| 9 | 1023396231 | $582K |
| 10 | 1184073058 | $488K |
| 11 | 1720107956 | $451K |
| 12 | 1902024326 | $446K |
| 13 | 1932327665 | $433K |
| 14 | 1831196955 | $426K |
| 15 | 1356817217 | $324K |
| 16 | 1467854877 | $310K |
| 17 | 1548430689 | $256K |
| 18 | 1700856846 | $232K |
| 19 | 1063284115 | $220K |
| 20 | 1073706644 | $220K |
Showing top 20 of 34 providers billing this code