S5150
Unskilled respite care, per 15 min
Unskilled respite care, per 15 min is the #66 most-billed Medicaid procedure code, with $2.98B in payments across 34.5M claims from 2018–2024. The national median cost per claim is $84.46. Costs vary widely — the 90th percentile is $262.74 per claim, 3.1× the median.
Total Paid
$2.98B
0.27% of all spending
Total Claims
34.5M
Providers
1K
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for S5150? Based on 1K providers billing this code nationally.
Median
$84.46
Average
$135.43
Std Dev
$175.33
Max
$2,997.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $58.77 and $141.34 per claim for this code.
90% bill between $44.59 and $262.74.
Top 1% bill above $862.13.
About This Procedure
HCPCS code S5150 (Unskilled respite care, per 15 min) was billed by 1K providers across 34.5M claims, totaling $2.98B in Medicaid payments from 2018–2024. This code was used for 3.5M unique beneficiaries.
Risk Assessment
This procedure is featured in our investigation: NY Home Care Machine
Read the full analysis for context on billing patterns associated with this code.
Billing Statistics
Median Cost/Claim
$84.46
Providers Billing
1K
National Spending
$2.98B
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S5150
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships Llc Latham, NY · Supports Brokerage | $444.7M |
| 2 | Consumer Direct Care Network Virginia Missoula, MT · Home Health | $230.5M |
| 3 | Community Assistance Resources & Extended Services Inc New York, NY · Case Management | $184.8M |
| 4 | Arion Care Solutions Llc Chandler, AZ · In Home Supportive Care | $109.0M |
| 5 | Hamaspik Of Kings County Inc. Brooklyn, NY · Case Management | $89.1M |
| 6 | Human Care Services For Families And Children Inc Brooklyn, NY · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $49.7M |
| 7 | Hamaspik Of Orange County Monroe, NY · Voluntary or Charitable | $47.7M |
| 8 | Accra Care Minnetonka, MN · Home Health | $40.0M |
| 9 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $38.0M |
| 10 | 1417186479 | $30.9M |
| 11 | Northeast Pennsylvania Center For Independent Living Scranton, PA · Supports Brokerage | $28.2M |
| 12 | Hamaspik Of Rockland, Inc. Monsey, NY · Case Management | $27.6M |
| 13 | United Cerebral Palsy Of Southern Arizona, Inc Tucson, AZ · Home Health | $23.6M |
| 14 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $23.6M |
| 15 | Braverhood Brooklyn, NY · Day Training, Developmentally Disabled Services | $23.2M |
| 16 | 1568619484 | $22.7M |
| 17 | Southern Home Care Services Inc. Saint Louis, MO · In Home Supportive Care | $22.5M |
| 18 | 1558721241 | $21.7M |
| 19 | Colorado Family Caregivers Llc Colorado Springs, CO · In Home Supportive Care | $18.9M |
| 20 | 1558499459 | $17.2M |
Showing top 20 of 1K providers billing this code