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#40 of 11K

S5130

Homemaker service, NOS; per 15 min

Homemaker service, NOS; per 15 min is the #40 most-billed Medicaid procedure code, with $4.89B in payments across 87.6M claims from 2018–2024. The national median cost per claim is $48.76. Costs vary widely — the 90th percentile is $224.77 per claim, 4.6× the median.

Total Paid

$4.89B

0.45% of all spending

Total Claims

87.6M

Providers

3K

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for S5130? Based on 3K providers billing this code nationally.

Median

$48.76

Average

$113.35

Std Dev

$215.36

Max

$2,159.35

Percentile Distribution (Cost per Claim)

p10
$22.12
p25
$31.33
Median
$48.76
p75
$93.10
p90
$224.77
p95
$436.05
p99
$1,358.28

50% of providers bill between $31.33 and $93.10 per claim for this code.

90% bill between $22.12 and $224.77.

Top 1% bill above $1,358.28.

About This Procedure

HCPCS code S5130 (Homemaker service, NOS; per 15 min) was billed by 3K providers across 87.6M claims, totaling $4.89B in Medicaid payments from 2018–2024. This code was used for 7.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.76

Providers Billing

3K

National Spending

$4.89B

Avg/Median Ratio

2.32×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S5130

#ProviderTotal Paid
1Public Partnerships Llc

Latham, NY · Supports Brokerage

$225.8M
2Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$208.0M
3Easter Seals Delaware & Marylands Eastern Shore Inc

New Castle, DE · Psychologist Intellectual & Developmental Disabilities

$174.0M
4Alabama Department Of Senior Services

Montgomery, AL · Home Health

$86.7M
5Jevs Human Services

Wilmington, DE · Psychologist Adult Development & Aging

$75.0M
6West Virginia's Choice

Morgantown, WV · Home Health

$69.2M
7Help At Home, Llc

Chicago, IL · Home Health

$67.2M
8Central Boston Elder Services, Inc.

Roxbury, MA · Case Management

$60.9M
9Central West Virginia Aging Services Inc (Hmkr)

Buckhannon, WV · Home Health

$58.5M
10Springwell

Watertown, MA · Case Management

$39.9M
11Accra Care

Minnetonka, MN · Home Health

$39.3M
12Caring Professional Services Inc

Hialeah, FL · Home Health

$34.1M
131093937633$33.9M
14Consumer Direct For Florida

Sunrise, FL · Case Management

$32.7M
15Colorado Family Caregivers Llc

Colorado Springs, CO · In Home Supportive Care

$30.9M
16Elder Services Of The Merrimack Valley Inc.

Lawrence, MA · Home Health

$30.0M
171649521022$28.4M
181740298355$28.1M
19Integrated Home Care Services Inc.

Miramar, FL · Case Management

$27.8M
201568583235$26.8M

Showing top 20 of 3K providers billing this code