S5151
Unskilled respite care, per diem
Unskilled respite care, per diem is the #574 most-billed Medicaid procedure code, with $141.4M in payments across 912K claims from 2018–2024. The national median cost per claim is $249.18. Costs vary widely — the 90th percentile is $556.44 per claim, 2.2× the median.
Total Paid
$141.4M
0.01% of all spending
Total Claims
912K
Providers
288
Avg Cost/Claim
$155
National Cost Distribution
How much do providers bill per claim for S5151? Based on 230 providers billing this code nationally.
Median
$249.18
Average
$294.34
Std Dev
$222.26
Max
$1,198.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $171.07 and $351.80 per claim for this code.
90% bill between $59.97 and $556.44.
Top 1% bill above $1,084.11.
About This Procedure
HCPCS code S5151 (Unskilled respite care, per diem) was billed by 288 providers across 912K claims, totaling $141.4M in Medicaid payments from 2018–2024. This code was used for 219K 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
$249.18
Providers Billing
230
National Spending
$141.4M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S5151
| # | Provider | Total Paid |
|---|---|---|
| 1 | Help At Home, Llc Merrillville Bra, IN · Home Health | $18.8M |
| 2 | 1124321500 | $7.8M |
| 3 | 1700174901 | $5.0M |
| 4 | 1043300882 | $4.8M |
| 5 | Arion Care Solutions Llc Chandler, AZ · In Home Supportive Care | $4.0M |
| 6 | 1326579723 | $3.3M |
| 7 | Colorado Family Caregivers Llc Colorado Springs, CO · In Home Supportive Care | $2.7M |
| 8 | Community Ventures In Living, Ltd. Lafayette, IN · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2.7M |
| 9 | 1598992885 | $2.6M |
| 10 | 1508071226 | $2.3M |
| 11 | 1215087994 | $2.2M |
| 12 | 1033362678 | $2.1M |
| 13 | The Arc Of Oakland County Inc Troy, MI · Voluntary or Charitable | $2.0M |
| 14 | 1942345178 | $2.0M |
| 15 | 1225458284 | $1.9M |
| 16 | Integrated Life Choices Littleton, CO · Clinic/Center, Developmental Disabilities | $1.9M |
| 17 | 1295927614 | $1.6M |
| 18 | 1861706319 | $1.6M |
| 19 | 24hr Homecare El Segundo, CA · Technician, Personal Care Attendant | $1.6M |
| 20 | 1508989666 | $1.6M |
Showing top 20 of 288 providers billing this code