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#1148 of 11K

Q5009

Hospice/home health aide, per 15 min

Hospice/home health aide, per 15 min is the #1,148 most-billed Medicaid procedure code, with $37.0M in payments across 48K claims from 2018–2024. The national median cost per claim is $138.75. Costs vary widely — the 90th percentile is $799.58 per claim, 5.8× the median.

Total Paid

$37.0M

0.00% of all spending

Total Claims

48K

Providers

7

Avg Cost/Claim

$775

National Cost Distribution

How much do providers bill per claim for Q5009? Based on 5 providers billing this code nationally.

Median

$138.75

Average

$369.52

Std Dev

$391.20

Max

$812.49

Percentile Distribution (Cost per Claim)

p10
$57.41
p25
$61.49
Median
$138.75
p75
$780.21
p90
$799.58
p95
$806.03
p99
$811.20

50% of providers bill between $61.49 and $780.21 per claim for this code.

90% bill between $57.41 and $799.58.

Top 1% bill above $811.20.

About This Procedure

HCPCS code Q5009 (Hospice/home health aide, per 15 min) was billed by 7 providers across 48K claims, totaling $37.0M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$138.75

Providers Billing

5

National Spending

$37.0M

Avg/Median Ratio

2.66×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5009

#ProviderTotal Paid
1Upper Mattaponi Indian Tribe

Aylett, VA · Family Medicine

$24.4M
2Fishing Point Health Care Llc

Portsmouth, VA · General Practice

$12.4M
31174051668$174K
41649826702$28K
51861413452$3K
61326019688$0
71578683280$0

Showing top 7 of 7 providers billing this code