S5180
Home health respiratory therapy, per visit
Home health respiratory therapy, per visit is the #3,690 most-billed Medicaid procedure code, with $1.3M in payments across 14K claims from 2018–2024. The national median cost per claim is $86.09.
Total Paid
$1.3M
0.00% of all spending
Total Claims
14K
Providers
4
Avg Cost/Claim
$93
National Cost Distribution
How much do providers bill per claim for S5180? Based on 4 providers billing this code nationally.
Median
$86.09
Average
$85.91
Std Dev
$56.00
Max
$145.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.47 and $126.53 per claim for this code.
90% bill between $33.97 and $137.71.
Top 1% bill above $144.42.
About This Procedure
HCPCS code S5180 (Home health respiratory therapy, per visit) was billed by 4 providers across 14K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.09
Providers Billing
4
National Spending
$1.3M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.