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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Caregiver Homes Of Massachusetts Inc Auburn, MA · Case Management | $597.9M |
| 2 | Divine House, Inc. Willmar, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $162.2M |
| 3 | Nonotuck Resource Associates, Inc Florence, MA · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $154.9M |
| 4 | Rem Ramsey, Inc. North Saint Paul, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $148.2M |
| 5 | Rem Hennepin, Inc. Minneapolis, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $132.3M |
| 6 | Wec Health, Llc Framingham, MA · Foster Care Agency | $126.0M |
| 7 | Rem River Bluffs, Inc. Rochester, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $123.8M |
| 8 | Rem South Central, Inc. Willmar, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $99.9M |
| 9 | Living Innovations Support Services Llc Dover, NH · Day Training Developmentally Disabled Services | $99.9M |
| 10 | Prairie Community Services Morris, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $96.0M |
| 11 | Acr Homes, Inc. Roseville, MN · Custodial Care Facility, Adult Care Home | $95.9M |
| 12 | Habilitative Services Llc Mankato, MN · Community/Behavioral Health | $94.1M |
| 13 | Rem Minnesota Community Services, Inc. Apple Valley, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $93.8M |
| 14 | 1073887246 | $92.8M |
| 15 | Rem North Star, Inc. Bemidji, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $90.3M |
| 16 | Rem Arrowhead, Inc. Duluth, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $90.1M |
| 17 | Victory Human Services Dorchester Center, MA · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $86.2M |
| 18 | Rem Central Lakes, Inc. Sartell, MN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $84.9M |
| 19 | 1104032309 | $84.0M |
| 20 | Rem 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