#1412 of 11K

S5120

Chore services, per 15 min

Chore services, per 15 min is the #1,412 most-billed Medicaid procedure code, with $23.9M in payments across 288K claims from 2018–2024. The national median cost per claim is $70.19. Costs vary widely — the 90th percentile is $191.96 per claim, 2.7× the median.

Total Paid

$23.9M

0.00% of all spending

Total Claims

288K

Providers

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for S5120? Based on 86 providers billing this code nationally.

Median

$70.19

Average

$111.70

Std Dev

$152.42

Max

$1,039.80

Percentile Distribution (Cost per Claim)

p10

$28.66

p25

$43.45

Median

$70.19

p75

$119.59

p90

$191.96

p95

$264.05

p99

$876.06

50% of providers bill between $43.45 and $119.59 per claim for this code.

90% bill between $28.66 and $191.96.

Top 1% bill above $876.06.

About This Procedure

HCPCS code S5120 (Chore services, per 15 min) was billed by 94 providers across 288K claims, totaling $23.9M in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.19

Providers Billing

National Spending

$23.9M

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S5120

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1588054068	$4.1M	$206.10	2.9× median	Top 10%
2	1982856977	$2.7M	$112.61	1.6× median	Above Median
3	Central Boston Elder Services, Inc. Roxbury, MA · Case Management	$1.9M	$227.52	3.2× median	Top 10%
4	1922185677	$1.7M	$566.66	8.1× median	Top 10%
5	Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health	$1.4M	$42.37	0.6× median	Below Median
6	Mystic Valley Elder Services Inc. Malden, MA · Case Management	$1.2M	$120.78	1.7× median	Above 75th
7	1427127620	$970K	$94.11	1.3× median	Above Median
8	Elder Services Of Cape Cod And The Islands South Dennis, MA · Case Management	$763K	$106.65	1.5× median	Above Median
9	Springwell Watertown, MA · Case Management	$710K	$121.32	1.7× median	Above 75th
10	1942345178	$637K	$50.83	0.7× median	Below Median
11	1689707770	$603K	$56.13	0.8× median	Below Median
12	1689708505	$513K	$114.52	1.6× median	Above Median
13	1295852531	$496K	$67.51	1.0× median	Below Median
14	1174854590	$492K	$54.62	0.8× median	Below Median
15	1508990490	$438K	$137.00	2.0× median	Above 75th
16	1578696738	$358K	$51.68	0.7× median	Below Median
17	1568583235	$334K	$147.35	2.1× median	Above 75th
18	1265842785	$318K	$1,039.80	14.8× median	Top 1%
19	1629279732	$299K	$49.45	0.7× median	Below Median
20	1174738983	$280K	$53.99	0.8× median	Below Median

Showing top 20 of 94 providers billing this code

Related Procedures

S5125Attendant care services, per 15 min$31.34B S5130Homemaker service, NOS; per 15 min$4.89B S5126Attendant care services, per diem$4.44B S5121Attendant care services, in-home, per 15 min$227.6M S5110Home care training, family; per 15 min$162.4M

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