Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#27 of 11K

S5140

Foster care, adult; per diem

Foster care, adult; per diem is the #27 most-billed Medicaid procedure code, with $6.39B in payments across 40.9M claims from 2018–2024. The national median cost per claim is $252.32. Costs vary widely — the 90th percentile is $1,647.29 per claim, 6.5× the median.

Total Paid

$6.39B

0.58% of all spending

Total Claims

40.9M

Providers

440

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for S5140? Based on 400 providers billing this code nationally.

Median

$252.32

Average

$604.44

Std Dev

$922.05

Max

$4,753.33

Percentile Distribution (Cost per Claim)

p10
$78.00
p25
$108.15
Median
$252.32
p75
$567.12
p90
$1,647.29
p95
$2,463.86
p99
$4,524.31

50% of providers bill between $108.15 and $567.12 per claim for this code.

90% bill between $78.00 and $1,647.29.

Top 1% bill above $4,524.31.

About This Procedure

HCPCS code S5140 (Foster care, adult; per diem) was billed by 440 providers across 40.9M claims, totaling $6.39B in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$252.32

Providers Billing

400

National Spending

$6.39B

Avg/Median Ratio

2.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S5140

#ProviderTotal Paid
1Caregiver Homes Of Massachusetts Inc

Auburn, MA · Case Management

$597.9M
2Divine House, Inc.

Willmar, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$162.2M
3Nonotuck Resource Associates, Inc

Florence, MA · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$154.9M
4Rem Ramsey, Inc.

North Saint Paul, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$148.2M
5Rem Hennepin, Inc.

Minneapolis, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$132.3M
6Wec Health, Llc

Framingham, MA · Foster Care Agency

$126.0M
7Rem River Bluffs, Inc.

Rochester, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$123.8M
8Rem South Central, Inc.

Willmar, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$99.9M
9Living Innovations Support Services Llc

Dover, NH · Day Training Developmentally Disabled Services

$99.9M
10Prairie Community Services

Morris, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$96.0M
11Acr Homes, Inc.

Roseville, MN · Custodial Care Facility, Adult Care Home

$95.9M
12Habilitative Services Llc

Mankato, MN · Community/Behavioral Health

$94.1M
13Rem Minnesota Community Services, Inc.

Apple Valley, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$93.8M
141073887246$92.8M
15Rem North Star, Inc.

Bemidji, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$90.3M
16Rem Arrowhead, Inc.

Duluth, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$90.1M
17Victory Human Services

Dorchester Center, MA · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$86.2M
18Rem Central Lakes, Inc.

Sartell, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$84.9M
191104032309$84.0M
20Rem Woodvale, Inc.

Owatonna, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$73.8M

Showing top 20 of 440 providers billing this code