#1711 of 11K

S5185

Medication reminder service, NOS, per month

Medication reminder service, NOS, per month is the #1,711 most-billed Medicaid procedure code, with $15.6M in payments across 372K claims from 2018–2024. The national median cost per claim is $44.39.

Total Paid

$15.6M

0.00% of all spending

Total Claims

372K

Providers

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for S5185? Based on 59 providers billing this code nationally.

Median

$44.39

Average

$50.34

Std Dev

$43.25

Max

$263.77

Percentile Distribution (Cost per Claim)

p10

$18.87

p25

$25.99

Median

$44.39

p75

$54.89

p90

$71.88

p95

$115.46

p99

$236.62

50% of providers bill between $25.99 and $54.89 per claim for this code.

90% bill between $18.87 and $71.88.

Top 1% bill above $236.62.

About This Procedure

HCPCS code S5185 (Medication reminder service, NOS, per month) was billed by 63 providers across 372K claims, totaling $15.6M in Medicaid payments from 2018–2024. This code was used for 325K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.39

Providers Billing

National Spending

$15.6M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for S5185

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1609931583	$6.9M	$53.63	1.2× median	Above Median
2	1457846735	$919K	$44.39	1.0× median	Above Median
3	1023107281	$693K	$31.88	0.7× median	Below Median
4	1386794428	$689K	$21.13	0.5× median	Below Median
5	1225687783	$648K	$53.24	1.2× median	Above Median
6	1528073921	$405K	$34.05	0.8× median	Below Median
7	1386052660	$381K	$47.38	1.1× median	Above Median
8	1164593901	$356K	$34.81	0.8× median	Below Median
9	1063426831	$356K	$48.46	1.1× median	Above Median
10	1659856169	$286K	$56.93	1.3× median	Above 75th
11	New England Emergency Response Systems Inc Southfield, MI · Emergency Response System Companies	$279K	$55.42	1.2× median	Above 75th
12	1871144915	$246K	$113.07	2.5× median	Top 10%
13	1154625028	$243K	$24.84	0.6× median	Below Median
14	1558384685	$240K	$216.97	4.9× median	Top 10%
15	1760686547	$214K	$47.45	1.1× median	Above Median
16	1275681553	$213K	$43.41	1.0× median	Below Median
17	1477809051	$205K	$20.04	0.5× median	Below Median
18	1962996322	$204K	$46.07	1.0× median	Above Median
19	1598943342	$177K	$34.18	0.8× median	Below Median
20	1386702025	$150K	$47.22	1.1× median	Above Median

Showing top 20 of 63 providers billing this code

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S5175Laundry service, per occasion$38.7M S5190Wellness assessment, performed by non-physician$5.9M S5181Home health training, per visit$1.8M S5180Home health respiratory therapy, per visit$1.3M

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