S5111
Home care training, family member, per session
Home care training, family member, per session is the #580 most-billed Medicaid procedure code, with $139.4M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $87.13. Costs vary widely — the 90th percentile is $214.23 per claim, 2.5× the median.
Total Paid
$139.4M
0.01% of all spending
Total Claims
1.3M
Providers
406
Avg Cost/Claim
$107
National Cost Distribution
How much do providers bill per claim for S5111? Based on 389 providers billing this code nationally.
Median
$87.13
Average
$109.41
Std Dev
$90.48
Max
$1,131.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $58.21 and $134.49 per claim for this code.
90% bill between $35.63 and $214.23.
Top 1% bill above $354.87.
About This Procedure
HCPCS code S5111 (Home care training, family member, per session) was billed by 406 providers across 1.3M claims, totaling $139.4M in Medicaid payments from 2018–2024. This code was used for 572K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$87.13
Providers Billing
389
National Spending
$139.4M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for S5111
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770889594 | $8.6M |
| 2 | California Psychcare, Inc. Van Nuys, CA · Behavior Analyst | $6.5M |
| 3 | 1932709771 | $5.9M |
| 4 | Macomb County Community Mental Health Clinton Twp, MI · Clinic/Center Mental Health (Including Community Mental Health Center) | $5.0M |
| 5 | 1336391911 | $4.1M |
| 6 | Bm Behavioral Center Llc San Pablo, CA · Home Health | $3.1M |
| 7 | Genesee Health System Flint, MI · Community/Behavioral Health | $2.9M |
| 8 | 1275131005 | $2.9M |
| 9 | 1104426352 | $2.6M |
| 10 | 1033271895 | $2.5M |
| 11 | 1710066253 | $2.4M |
| 12 | 1467520452 | $2.4M |
| 13 | Community Mental Health For Central Michigan Mt Pleasant, MI · Psychiatry & Neurology Psychiatry | $2.3M |
| 14 | 1598388993 | $2.1M |
| 15 | 1598719395 | $2.0M |
| 16 | Macomb Oakland Regional Center Inc. Auburn Hills, MI · Community/Behavioral Health | $1.9M |
| 17 | 1184139131 | $1.9M |
| 18 | 1952559296 | $1.9M |
| 19 | 1528198975 | $1.8M |
| 20 | St Clair County Community Mental Health Authority Port Huron, MI · Community/Behavioral Health | $1.8M |
Showing top 20 of 406 providers billing this code