#2141 of 11K

S5160

Emergency response system, per month

Emergency response system, per month is the #2,141 most-billed Medicaid procedure code, with $8.5M in payments across 233K claims from 2018–2024. The national median cost per claim is $38.52.

Total Paid

$8.5M

0.00% of all spending

Total Claims

233K

Providers

140

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for S5160? Based on 136 providers billing this code nationally.

Median

$38.52

Average

$44.26

Std Dev

$30.00

Max

$274.18

Percentile Distribution (Cost per Claim)

p10

$24.89

p25

$30.99

Median

$38.52

p75

$47.33

p90

$59.76

p95

$82.35

p99

$153.04

50% of providers bill between $30.99 and $47.33 per claim for this code.

90% bill between $24.89 and $59.76.

Top 1% bill above $153.04.

About This Procedure

HCPCS code S5160 (Emergency response system, per month) was billed by 140 providers across 233K claims, totaling $8.5M in Medicaid payments from 2018–2024. This code was used for 217K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.52

Providers Billing

136

National Spending

$8.5M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S5160

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1609931583	$1.4M	$37.41	1.0× median	Below Median
2	1528464740	$906K	$30.05	0.8× median	Below Median
3	1023107281	$650K	$34.55	0.9× median	Below Median
4	1386794428	$593K	$19.32	0.5× median	Below Median
5	1831720457	$337K	$134.62	3.5× median	Top 10%
6	1386052660	$337K	$46.84	1.2× median	Above Median
7	1184726242	$258K	$33.91	0.9× median	Below Median
8	1760686547	$254K	$59.16	1.5× median	Above 75th
9	1699038836	$221K	$39.99	1.0× median	Above Median
10	1215358361	$209K	$46.73	1.2× median	Above Median
11	1245357557	$209K	$50.64	1.3× median	Above 75th
12	1477809051	$200K	$29.51	0.8× median	Below Median
13	1245747187	$159K	$149.39	3.9× median	Top 10%
14	1174681324	$135K	$29.54	0.8× median	Below Median
15	1972647253	$110K	$35.66	0.9× median	Below Median
16	1568492585	$108K	$49.68	1.3× median	Above 75th
17	1497798011	$100K	$33.85	0.9× median	Below Median
18	1932651395	$99K	$37.82	1.0× median	Below Median
19	1053981266	$94K	$59.18	1.5× median	Above 75th
20	1902959455	$93K	$38.65	1.0× median	Above Median

Showing top 20 of 140 providers billing this code

Related Procedures

S5150Unskilled respite care, per 15 min$2.98B S5170Homemaker service, NOS, per diem$2.24B S5161Emergency response system, per month$695.5M S5165Home modifications, per service$278.7M S5151Unskilled respite care, per diem$141.4M

← All procedures Top providers →