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#89 of 11K

S5170

Homemaker service, NOS, per diem

Homemaker service, NOS, per diem is the #89 most-billed Medicaid procedure code, with $2.24B in payments across 122.2M claims from 2018–2024. The national median cost per claim is $19.89. Costs vary widely — the 90th percentile is $167.93 per claim, 8.4× the median.

Total Paid

$2.24B

0.20% of all spending

Total Claims

122.2M

Providers

931

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for S5170? Based on 891 providers billing this code nationally.

Median

$19.89

Average

$58.01

Std Dev

$83.99

Max

$1,135.66

Percentile Distribution (Cost per Claim)

p10
$6.17
p25
$10.65
Median
$19.89
p75
$86.13
p90
$167.93
p95
$209.10
p99
$352.29

50% of providers bill between $10.65 and $86.13 per claim for this code.

90% bill between $6.17 and $167.93.

Top 1% bill above $352.29.

About This Procedure

HCPCS code S5170 (Homemaker service, NOS, per diem) was billed by 931 providers across 122.2M claims, totaling $2.24B in Medicaid payments from 2018–2024. This code was used for 11.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.89

Providers Billing

891

National Spending

$2.24B

Avg/Median Ratio

2.92×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for S5170

#ProviderTotal Paid
1Purfoods Llc

Ankeny, IA · Home Delivered Meals

$849.1M
2Casleo Llc

Columbus, OH · Home Delivered Meals

$117.5M
3Alabama Department Of Senior Services

Montgomery, AL · Home Health

$65.4M
41235407420$64.5M
5Tangelo - Intend Inc.

Birmingham, MI · Medical Foods Supplier

$43.7M
61942477286$38.7M
71467646281$38.6M
81114020401$31.6M
91881618544$28.1M
101316125255$25.7M
11Southeast Missouri Area Agency On Aging, Inc.

Cape Girardeau, MO · Home Delivered Meals

$25.2M
121447635271$23.7M
13Independent Living Systems Llc

Miami, FL · Case Management

$21.7M
141871739425$21.1M
15Central Boston Elder Services, Inc.

Roxbury, MA · Case Management

$20.3M
16Seniorage Area Agency On Aging

Springfield, MO · Meals

$18.0M
171568583235$18.0M
181730399064$16.8M
191114178118$14.6M
20Southern Ms Planning And Development District

Gulfport, MS · Case Management

$13.9M

Showing top 20 of 931 providers billing this code