S9342
Home infusion therapy, continuous or intermittent, per diem
Home infusion therapy, continuous or intermittent, per diem is the #429 most-billed Medicaid procedure code, with $239.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $176.25. Costs vary widely — the 90th percentile is $467.24 per claim, 2.7× the median.
Total Paid
$239.0M
0.02% of all spending
Total Claims
3.4M
Providers
190
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for S9342? Based on 183 providers billing this code nationally.
Median
$176.25
Average
$210.37
Std Dev
$194.19
Max
$893.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.08 and $310.70 per claim for this code.
90% bill between $16.32 and $467.24.
Top 1% bill above $788.09.
About This Procedure
HCPCS code S9342 (Home infusion therapy, continuous or intermittent, per diem) was billed by 190 providers across 3.4M claims, totaling $239.0M in Medicaid payments from 2018–2024. This code was used for 535K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$176.25
Providers Billing
183
National Spending
$239.0M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S9342
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184653388 | $16.6M |
| 2 | 1134175581 | $11.7M |
| 3 | 1992741060 | $9.2M |
| 4 | 1720033715 | $8.9M |
| 5 | 1366501496 | $8.6M |
| 6 | 1952440604 | $8.3M |
| 7 | 1033166244 | $8.1M |
| 8 | 1003862020 | $7.9M |
| 9 | 1568474716 | $7.9M |
| 10 | 1083793566 | $7.8M |
| 11 | 1235209081 | $7.7M |
| 12 | Option Care Enterprises Inc. Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy | $7.6M |
| 13 | 1902182637 | $6.5M |
| 14 | 1477647337 | $5.7M |
| 15 | 1174693592 | $5.6M |
| 16 | 1457658486 | $5.2M |
| 17 | 1235329228 | $5.1M |
| 18 | 1518036458 | $4.5M |
| 19 | 1255336517 | $3.8M |
| 20 | 1710057500 | $3.5M |
Showing top 20 of 190 providers billing this code