S5135
Companion care, adult, per diem
Companion care, adult, per diem is the #112 most-billed Medicaid procedure code, with $1.77B in payments across 22.6M claims from 2018–2024. The national median cost per claim is $52.25. Costs vary widely — the 90th percentile is $177.58 per claim, 3.4× the median.
Total Paid
$1.77B
0.16% of all spending
Total Claims
22.6M
Providers
925
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for S5135? Based on 908 providers billing this code nationally.
Median
$52.25
Average
$97.90
Std Dev
$176.18
Max
$2,787.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.71 and $105.55 per claim for this code.
90% bill between $24.38 and $177.58.
Top 1% bill above $778.52.
About This Procedure
HCPCS code S5135 (Companion care, adult, per diem) was billed by 925 providers across 22.6M claims, totaling $1.77B in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.25
Providers Billing
908
National Spending
$1.77B
Avg/Median Ratio
1.87×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for S5135
| # | Provider | Total Paid |
|---|---|---|
| 1 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $649.1M |
| 2 | Accra Care Minnetonka, MN · Home Health | $152.1M |
| 3 | Acumen Of North Carolina, Llc Charlotte, NC · Case Management | $75.3M |
| 4 | Public Partnerships Llc Latham, NY · Supports Brokerage | $59.3M |
| 5 | Community Involvement Programs Minneapolis, MN · Day Training Developmentally Disabled Services | $49.8M |
| 6 | 1891880852 | $17.9M |
| 7 | A487650000 | $17.5M |
| 8 | 1922185677 | $15.1M |
| 9 | Caring Professional Services Inc Hialeah, FL · Home Health | $14.6M |
| 10 | Central Boston Elder Services, Inc. Roxbury, MA · Case Management | $14.3M |
| 11 | 1992837033 | $13.7M |
| 12 | A705719900 | $13.6M |
| 13 | The Fogarty Center Barrington, RI · In Home Supportive Care | $12.5M |
| 14 | Consumer Direct For Florida Sunrise, FL · Case Management | $12.3M |
| 15 | Elder Services Of The Merrimack Valley Inc. Lawrence, MA · Home Health | $10.9M |
| 16 | 1366527111 | $10.1M |
| 17 | 1922512094 | $8.8M |
| 18 | 1083883243 | $8.5M |
| 19 | 1780806828 | $8.4M |
| 20 | A814695100 | $8.2M |
Showing top 20 of 925 providers billing this code