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#221 of 11K

S5161

Emergency response system, per month

Emergency response system, per month is the #221 most-billed Medicaid procedure code, with $695.5M in payments across 25.5M claims from 2018–2024. The national median cost per claim is $29.97.

Total Paid

$695.5M

0.06% of all spending

Total Claims

25.5M

Providers

738

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for S5161? Based on 690 providers billing this code nationally.

Median

$29.97

Average

$47.53

Std Dev

$167.26

Max

$2,268.22

Percentile Distribution (Cost per Claim)

p10
$19.02
p25
$25.05
Median
$29.97
p75
$38.32
p90
$49.35
p95
$55.50
p99
$136.41

50% of providers bill between $25.05 and $38.32 per claim for this code.

90% bill between $19.02 and $49.35.

Top 1% bill above $136.41.

About This Procedure

HCPCS code S5161 (Emergency response system, per month) was billed by 738 providers across 25.5M claims, totaling $695.5M in Medicaid payments from 2018–2024. This code was used for 24.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.97

Providers Billing

690

National Spending

$695.5M

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for S5161

#ProviderTotal Paid
11609931583$75.5M
21023107281$74.3M
31508982232$60.1M
41528464740$46.8M
51386794428$41.8M
61568583458$32.1M
71184726242$28.9M
81477809051$19.1M
91841448404$15.3M
101215358361$14.8M
111699038836$13.4M
12Community Mental Health For Central Michigan

Mt Pleasant, MI · Psychiatry & Neurology Psychiatry

$11.0M
131245357557$9.9M
141437750072$8.6M
15New England Emergency Response Systems Inc

Southfield, MI · Emergency Response System Companies

$7.3M
161346313731$7.1M
171386052660$6.9M
181053981266$6.8M
191003032392$6.4M
201174681324$6.2M

Showing top 20 of 738 providers billing this code