#2105 of 11K

S9127

Social work visit, in the home, per diem

Social work visit, in the home, per diem is the #2,105 most-billed Medicaid procedure code, with $8.9M in payments across 120K claims from 2018–2024. The national median cost per claim is $98.75.

Total Paid

$8.9M

0.00% of all spending

Total Claims

120K

Providers

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for S9127? Based on 73 providers billing this code nationally.

Median

$98.75

Average

$99.28

Std Dev

$44.68

Max

$291.65

Percentile Distribution (Cost per Claim)

p10

$48.34

p25

$72.88

Median

$98.75

p75

$127.00

p90

$137.77

p95

$168.40

p99

$214.30

50% of providers bill between $72.88 and $127.00 per claim for this code.

90% bill between $48.34 and $137.77.

Top 1% bill above $214.30.

About This Procedure

HCPCS code S9127 (Social work visit, in the home, per diem) was billed by 81 providers across 120K claims, totaling $8.9M in Medicaid payments from 2018–2024. This code was used for 103K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.75

Providers Billing

National Spending

$8.9M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9127

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1528059805	$759K	$83.26	0.8× median	Below Median
2	1992859888	$726K	$126.65	1.3× median	Above Median
3	1932227790	$547K	$78.01	0.8× median	Below Median
4	1265591168	$538K	$135.15	1.4× median	Above 75th
5	1669842951	$515K	$119.09	1.2× median	Above Median
6	1730268384	$461K	$137.51	1.4× median	Above 75th
7	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$343K	$142.15	1.4× median	Top 10%
8	1801819271	$343K	$129.72	1.3× median	Above 75th
9	1962728071	$308K	$107.85	1.1× median	Above Median
10	1912964818	$295K	$135.25	1.4× median	Above 75th
11	1235127838	$295K	$72.67	0.7× median	Below Median
12	1982790903	$293K	$84.90	0.9× median	Below Median
13	1114967924	$256K	$137.83	1.4× median	Top 10%
14	1861464471	$248K	$184.22	1.9× median	Top 10%
15	1295770956	$241K	$23.34	0.2× median	Below Median
16	1841302254	$206K	$129.01	1.3× median	Above 75th
17	1871534628	$196K	$114.92	1.2× median	Above Median
18	1265437982	$192K	$129.55	1.3× median	Above 75th
19	1649285354	$187K	$120.38	1.2× median	Above Median
20	1235413535	$185K	$70.70	0.7× median	Below Median

Showing top 20 of 81 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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