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#112 of 11K

S5135

Companion care, adult, per diem

Companion care, adult, per diem is the #112 most-billed Medicaid procedure code, with $1.77B in payments across 22.6M claims from 2018–2024. The national median cost per claim is $52.25. Costs vary widely — the 90th percentile is $177.58 per claim, 3.4× the median.

Total Paid

$1.77B

0.16% of all spending

Total Claims

22.6M

Providers

925

Avg Cost/Claim

$79

National Cost Distribution

How much do providers bill per claim for S5135? Based on 908 providers billing this code nationally.

Median

$52.25

Average

$97.90

Std Dev

$176.18

Max

$2,787.86

Percentile Distribution (Cost per Claim)

p10
$24.38
p25
$32.71
Median
$52.25
p75
$105.55
p90
$177.58
p95
$254.13
p99
$778.52

50% of providers bill between $32.71 and $105.55 per claim for this code.

90% bill between $24.38 and $177.58.

Top 1% bill above $778.52.

About This Procedure

HCPCS code S5135 (Companion care, adult, per diem) was billed by 925 providers across 22.6M claims, totaling $1.77B in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.25

Providers Billing

908

National Spending

$1.77B

Avg/Median Ratio

1.87×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S5135

#ProviderTotal Paid
1Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$649.1M
2Accra Care

Minnetonka, MN · Home Health

$152.1M
3Acumen Of North Carolina, Llc

Charlotte, NC · Case Management

$75.3M
4Public Partnerships Llc

Latham, NY · Supports Brokerage

$59.3M
5Community Involvement Programs

Minneapolis, MN · Day Training Developmentally Disabled Services

$49.8M
61891880852$17.9M
7A487650000$17.5M
81922185677$15.1M
9Caring Professional Services Inc

Hialeah, FL · Home Health

$14.6M
10Central Boston Elder Services, Inc.

Roxbury, MA · Case Management

$14.3M
111992837033$13.7M
12A705719900$13.6M
13The Fogarty Center

Barrington, RI · In Home Supportive Care

$12.5M
14Consumer Direct For Florida

Sunrise, FL · Case Management

$12.3M
15Elder Services Of The Merrimack Valley Inc.

Lawrence, MA · Home Health

$10.9M
161366527111$10.1M
171922512094$8.8M
181083883243$8.5M
191780806828$8.4M
20A814695100$8.2M

Showing top 20 of 925 providers billing this code