S5126
Attendant care services, per diem
Attendant care services, per diem is the #45 most-billed Medicaid procedure code, with $4.44B in payments across 49.1M claims from 2018–2024. The national median cost per claim is $156.98. Costs vary widely — the 90th percentile is $939.56 per claim, 6.0× the median.
Total Paid
$4.44B
0.41% of all spending
Total Claims
49.1M
Providers
81
Avg Cost/Claim
$90
National Cost Distribution
How much do providers bill per claim for S5126? Based on 80 providers billing this code nationally.
Median
$156.98
Average
$348.81
Std Dev
$447.77
Max
$2,384.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.41 and $357.56 per claim for this code.
90% bill between $29.93 and $939.56.
Top 1% bill above $1,884.93.
About This Procedure
HCPCS code S5126 (Attendant care services, per diem) was billed by 81 providers across 49.1M claims, totaling $4.44B in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$156.98
Providers Billing
80
National Spending
$4.44B
Avg/Median Ratio
2.22×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S5126
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships Llc Latham, NY · Supports Brokerage | $2.37B |
| 2 | Consumer Direct Care Network Virginia Missoula, MT · Home Health | $1.77B |
| 3 | Northeast Pennsylvania Center For Independent Living Scranton, PA · Supports Brokerage | $135.5M |
| 4 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $68.6M |
| 5 | 1033706437 | $30.9M |
| 6 | 1750657888 | $11.6M |
| 7 | Avondale Care Group Llc New York, NY · Home Health | $7.7M |
| 8 | 1669821963 | $7.1M |
| 9 | New Partners Inc New York, NY · Home Health | $3.7M |
| 10 | 1518337286 | $2.9M |
| 11 | 1497231583 | $2.7M |
| 12 | 1518085851 | $2.1M |
| 13 | Premier Home Health Care Services Inc New York, NY · Home Health | $1.9M |
| 14 | 1154456366 | $1.9M |
| 15 | 1003414913 | $1.8M |
| 16 | 1457742967 | $1.7M |
| 17 | Alliance For Health Brooklyn, NY · In Home Supportive Care | $1.5M |
| 18 | 1265944854 | $1.4M |
| 19 | 1194975326 | $1.1M |
| 20 | 1528088853 | $1.0M |
Showing top 20 of 81 providers billing this code