#1508 of 11K

S9152

Speech therapy, re-evaluation

Speech therapy, re-evaluation is the #1,508 most-billed Medicaid procedure code, with $20.8M in payments across 219K claims from 2018–2024. The national median cost per claim is $92.99.

Total Paid

$20.8M

0.00% of all spending

Total Claims

219K

Providers

376

Avg Cost/Claim

$95

National Cost Distribution

How much do providers bill per claim for S9152? Based on 375 providers billing this code nationally.

Median

$92.99

Average

$91.84

Std Dev

$32.80

Max

$223.76

Percentile Distribution (Cost per Claim)

p10

$53.86

p25

$61.68

Median

$92.99

p75

$115.79

p90

$127.81

p95

$139.04

p99

$171.21

50% of providers bill between $61.68 and $115.79 per claim for this code.

90% bill between $53.86 and $127.81.

Top 1% bill above $171.21.

About This Procedure

HCPCS code S9152 (Speech therapy, re-evaluation) was billed by 376 providers across 219K claims, totaling $20.8M in Medicaid payments from 2018–2024. This code was used for 212K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$92.99

Providers Billing

375

National Spending

$20.8M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S9152

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Therapy Management Services, Llc. Dallas, TX · Case Management	$1.2M	$113.35	1.2× median	Above Median
2	1134371651	$584K	$118.38	1.3× median	Above 75th
3	1447209242	$517K	$59.22	0.6× median	Below Median
4	1689064677	$516K	$95.79	1.0× median	Above Median
5	1306170576	$505K	$124.49	1.3× median	Above 75th
6	1689865024	$497K	$126.24	1.4× median	Above 75th
7	1780729731	$467K	$108.98	1.2× median	Above Median
8	1205874773	$465K	$100.38	1.1× median	Above Median
9	1033527650	$454K	$130.86	1.4× median	Top 10%
10	1265431977	$443K	$120.78	1.3× median	Above 75th
11	1639134760	$410K	$60.25	0.6× median	Below Median
12	Aoc Tx Llc Sherman, TX · Home Health	$398K	$117.97	1.3× median	Above 75th
13	1225076904	$370K	$115.58	1.2× median	Above Median
14	1205933652	$364K	$124.66	1.3× median	Above 75th
15	1144313636	$363K	$106.09	1.1× median	Above Median
16	1508814757	$361K	$59.19	0.6× median	Below Median
17	Pyra Med Health Services, Llc Laredo, TX · Home Health	$352K	$130.68	1.4× median	Top 10%
18	1619051083	$345K	$78.75	0.8× median	Below Median
19	1609979137	$312K	$126.75	1.4× median	Above 75th
20	1073788048	$288K	$110.91	1.2× median	Above Median

Showing top 20 of 376 providers billing this code

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