S5102
Day care services, adult; per 15 min
Day care services, adult; per 15 min is the #13 most-billed Medicaid procedure code, with $9.34B in payments across 111.1M claims from 2018–2024. The national median cost per claim is $81.10. Costs vary widely — the 90th percentile is $172.73 per claim, 2.1× the median.
Total Paid
$9.34B
0.85% of all spending
Total Claims
111.1M
Providers
2K
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for S5102? Based on 2K providers billing this code nationally.
Median
$81.10
Average
$120.32
Std Dev
$181.49
Max
$4,544.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $70.85 and $105.70 per claim for this code.
90% bill between $57.08 and $172.73.
Top 1% bill above $839.29.
About This Procedure
HCPCS code S5102 (Day care services, adult; per 15 min) was billed by 2K providers across 111.1M claims, totaling $9.34B in Medicaid payments from 2018–2024. This code was used for 7.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.10
Providers Billing
2K
National Spending
$9.34B
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S5102
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164605234 | $49.4M |
| 2 | 1124187893 | $44.3M |
| 3 | 1053597096 | $42.7M |
| 4 | 1740678861 | $42.3M |
| 5 | 1760608996 | $41.3M |
| 6 | 1063621316 | $40.3M |
| 7 | 1417095324 | $39.9M |
| 8 | 1174669675 | $38.4M |
| 9 | 1386722536 | $38.4M |
| 10 | 1528280823 | $36.0M |
| 11 | 1942335807 | $35.7M |
| 12 | 1063743946 | $35.2M |
| 13 | 1174744833 | $32.9M |
| 14 | 1720266455 | $32.3M |
| 15 | 1184143521 | $31.1M |
| 16 | 1467874438 | $30.9M |
| 17 | 1548620701 | $30.5M |
| 18 | 1285144402 | $30.0M |
| 19 | 1972675650 | $29.8M |
| 20 | 1629490453 | $29.8M |
Showing top 20 of 2K providers billing this code