S9129
OT, in the home, per diem
OT, in the home, per diem is the #637 most-billed Medicaid procedure code, with $118.3M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $76.61.
Total Paid
$118.3M
0.01% of all spending
Total Claims
1.4M
Providers
334
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for S9129? Based on 321 providers billing this code nationally.
Median
$76.61
Average
$78.02
Std Dev
$69.08
Max
$789.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.90 and $102.02 per claim for this code.
90% bill between $15.15 and $136.86.
Top 1% bill above $337.11.
About This Procedure
HCPCS code S9129 (OT, in the home, per diem) was billed by 334 providers across 1.4M claims, totaling $118.3M in Medicaid payments from 2018–2024. This code was used for 448K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.61
Providers Billing
321
National Spending
$118.3M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S9129
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396926994 | $17.8M |
| 2 | 1962728071 | $12.1M |
| 3 | 1558493270 | $8.9M |
| 4 | 1932227790 | $5.7M |
| 5 | 1396910840 | $4.5M |
| 6 | 1720123870 | $3.5M |
| 7 | 1598186868 | $3.1M |
| 8 | Extended Nursing Personnel Chha, Llc Brooklyn, NY · Home Health | $2.8M |
| 9 | 1467412296 | $2.6M |
| 10 | 1790751915 | $2.2M |
| 11 | 1730268384 | $2.2M |
| 12 | 1528059805 | $2.1M |
| 13 | Easter Seals Delaware & Marylands Eastern Shore Inc New Castle, DE · Psychologist Intellectual & Developmental Disabilities | $1.7M |
| 14 | 1104146109 | $1.6M |
| 15 | 1427278514 | $1.6M |
| 16 | Prime Home Health Services, Llc Brooklyn, NY · Home Health | $1.5M |
| 17 | 1659374510 | $1.2M |
| 18 | 1730171547 | $1.2M |
| 19 | 1801819271 | $1.1M |
| 20 | Americare Certified Special Services Inc. Brooklyn, NY · Home Health | $1.1M |
Showing top 20 of 334 providers billing this code