S9131
Physical therapy, in the home, per diem
Physical therapy, in the home, per diem is the #454 most-billed Medicaid procedure code, with $215.4M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $90.35.
Total Paid
$215.4M
0.02% of all spending
Total Claims
2.4M
Providers
522
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for S9131? Based on 492 providers billing this code nationally.
Median
$90.35
Average
$89.69
Std Dev
$54.66
Max
$568.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.63 and $109.21 per claim for this code.
90% bill between $26.50 and $134.21.
Top 1% bill above $276.03.
About This Procedure
HCPCS code S9131 (Physical therapy, in the home, per diem) was billed by 522 providers across 2.4M claims, totaling $215.4M in Medicaid payments from 2018–2024. This code was used for 676K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$90.35
Providers Billing
492
National Spending
$215.4M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S9131
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962728071 | $11.5M |
| 2 | 1528059805 | $8.6M |
| 3 | 1932227790 | $8.3M |
| 4 | Extended Nursing Personnel Chha, Llc Brooklyn, NY · Home Health | $7.7M |
| 5 | 1467412296 | $5.2M |
| 6 | 1730268384 | $5.2M |
| 7 | 1396926994 | $4.8M |
| 8 | 1265591168 | $3.6M |
| 9 | Americare Certified Special Services Inc. Brooklyn, NY · Home Health | $3.4M |
| 10 | 1801819271 | $3.1M |
| 11 | 1780670711 | $2.4M |
| 12 | 1730171547 | $2.2M |
| 13 | Easter Seals Delaware & Marylands Eastern Shore Inc New Castle, DE · Psychologist Intellectual & Developmental Disabilities | $2.2M |
| 14 | 1750897609 | $2.2M |
| 15 | 1861464471 | $2.2M |
| 16 | 1447344098 | $2.2M |
| 17 | 1720019144 | $2.2M |
| 18 | 1558493270 | $2.2M |
| 19 | 1962479667 | $2.1M |
| 20 | 1003872862 | $2.1M |
Showing top 20 of 522 providers billing this code