S5125
Attendant care services, per 15 min
Attendant care services, per 15 min is the #5 most-billed Medicaid procedure code, with $31.34B in payments across 398.1M claims from 2018–2024. The national median cost per claim is $82.34. Costs vary widely — the 90th percentile is $272.73 per claim, 3.3× the median.
Total Paid
$31.34B
2.87% of all spending
Total Claims
398.1M
Providers
5K
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for S5125? Based on 4K providers billing this code nationally.
Median
$82.34
Average
$194.39
Std Dev
$490.31
Max
$8,024.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.40 and $132.45 per claim for this code.
90% bill between $35.71 and $272.73.
Top 1% bill above $2,709.30.
About This Procedure
HCPCS code S5125 (Attendant care services, per 15 min) was billed by 5K providers across 398.1M claims, totaling $31.34B in Medicaid payments from 2018–2024. This code was used for 19.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.34
Providers Billing
4K
National Spending
$31.34B
Avg/Median Ratio
2.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S5125
| # | Provider | Total Paid |
|---|---|---|
| 1 | Girling Health Care Inc. Austin, TX · Home Health | $798.0M |
| 2 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $676.0M |
| 3 | Public Partnerships Llc Alpharetta, GA · Supports Brokerage | $448.1M |
| 4 | Mississippi Department Of Rehabilitaion Svs Jackson, MS · Case Management | $295.6M |
| 5 | Advance Hi-tech Nursing Inc. San Antonio, TX · Technician Personal Care Attendant | $289.8M |
| 6 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $262.5M |
| 7 | Arion Care Solutions Llc Chandler, AZ · In Home Supportive Care | $261.7M |
| 8 | Ability360, Inc, Phoenix, AZ · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $258.4M |
| 9 | Legacy Home Health Agency, Inc. Corpus Christi, TX · Home Health | $238.7M |
| 10 | Chartwell Community Services Inc. Arlington, TX · Home Health | $236.5M |
| 11 | Instant Care Of Arizona Phoenix, AZ · Home Health | $220.9M |
| 12 | Texas Home Health Of America L.p. Dallas, TX · Home Health | $206.6M |
| 13 | Public Partnerships Llc Latham, NY · Supports Brokerage | $205.2M |
| 14 | Rem Community Options Inc. Benwood, WV · Community/Behavioral Health | $188.4M |
| 15 | Saint Benedicts Home Health, Inc. Robstown, TX · Day Training, Developmentally Disabled Services | $184.6M |
| 16 | Voca Corporation Of West Virginia Inc. Princeton, WV · Clinic/Center Developmental Disabilities | $160.0M |
| 17 | Jhc Operations Llc Mount Vernon, TX · Home Health | $146.3M |
| 18 | Rscr West Virginia Inc. Parkersburg, WV · Clinic/Center Developmental Disabilities | $144.1M |
| 19 | Alegre Home Health Care Llc Mission, TX · Nursing Care | $141.5M |
| 20 | Health Managment Of Kansas, Inc. Coffeyville, KS · Home Health | $138.3M |
Showing top 20 of 5K providers billing this code