S5130
Homemaker service, NOS; per 15 min
Homemaker service, NOS; per 15 min is the #40 most-billed Medicaid procedure code, with $4.89B in payments across 87.6M claims from 2018–2024. The national median cost per claim is $48.76. Costs vary widely — the 90th percentile is $224.77 per claim, 4.6× the median.
Total Paid
$4.89B
0.45% of all spending
Total Claims
87.6M
Providers
3K
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for S5130? Based on 3K providers billing this code nationally.
Median
$48.76
Average
$113.35
Std Dev
$215.36
Max
$2,159.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.33 and $93.10 per claim for this code.
90% bill between $22.12 and $224.77.
Top 1% bill above $1,358.28.
About This Procedure
HCPCS code S5130 (Homemaker service, NOS; per 15 min) was billed by 3K providers across 87.6M claims, totaling $4.89B in Medicaid payments from 2018–2024. This code was used for 7.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.76
Providers Billing
3K
National Spending
$4.89B
Avg/Median Ratio
2.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for S5130
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships Llc Latham, NY · Supports Brokerage | $225.8M |
| 2 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $208.0M |
| 3 | Easter Seals Delaware & Marylands Eastern Shore Inc New Castle, DE · Psychologist Intellectual & Developmental Disabilities | $174.0M |
| 4 | Alabama Department Of Senior Services Montgomery, AL · Home Health | $86.7M |
| 5 | Jevs Human Services Wilmington, DE · Psychologist Adult Development & Aging | $75.0M |
| 6 | West Virginia's Choice Morgantown, WV · Home Health | $69.2M |
| 7 | Help At Home, Llc Chicago, IL · Home Health | $67.2M |
| 8 | Central Boston Elder Services, Inc. Roxbury, MA · Case Management | $60.9M |
| 9 | Central West Virginia Aging Services Inc (Hmkr) Buckhannon, WV · Home Health | $58.5M |
| 10 | Springwell Watertown, MA · Case Management | $39.9M |
| 11 | Accra Care Minnetonka, MN · Home Health | $39.3M |
| 12 | Caring Professional Services Inc Hialeah, FL · Home Health | $34.1M |
| 13 | 1093937633 | $33.9M |
| 14 | Consumer Direct For Florida Sunrise, FL · Case Management | $32.7M |
| 15 | Colorado Family Caregivers Llc Colorado Springs, CO · In Home Supportive Care | $30.9M |
| 16 | Elder Services Of The Merrimack Valley Inc. Lawrence, MA · Home Health | $30.0M |
| 17 | 1649521022 | $28.4M |
| 18 | 1740298355 | $28.1M |
| 19 | Integrated Home Care Services Inc. Miramar, FL · Case Management | $27.8M |
| 20 | 1568583235 | $26.8M |
Showing top 20 of 3K providers billing this code