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#3373 of 11K

S5181

Home health training, per visit

Home health training, per visit is the #3,373 most-billed Medicaid procedure code, with $1.8M in payments across 32K claims from 2018–2024. The national median cost per claim is $84.03.

Total Paid

$1.8M

0.00% of all spending

Total Claims

32K

Providers

3

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for S5181? Based on 3 providers billing this code nationally.

Median

$84.03

Average

$92.00

Std Dev

$41.58

Max

$137.00

Percentile Distribution (Cost per Claim)

p10
$60.80
p25
$69.51
Median
$84.03
p75
$110.51
p90
$126.41
p95
$131.70
p99
$135.94

50% of providers bill between $69.51 and $110.51 per claim for this code.

90% bill between $60.80 and $126.41.

Top 1% bill above $135.94.

About This Procedure

HCPCS code S5181 (Home health training, per visit) was billed by 3 providers across 32K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$84.03

Providers Billing

3

National Spending

$1.8M

Avg/Median Ratio

1.09×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.