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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Upper Mattaponi Indian Tribe Aylett, VA · Family Medicine | $24.4M |
| 2 | Fishing Point Health Care Llc Portsmouth, VA · General Practice | $12.4M |
| 3 | 1174051668 | $174K |
| 4 | 1649826702 | $28K |
| 5 | 1861413452 | $3K |
| 6 | 1326019688 | $0 |
| 7 | 1578683280 | $0 |
Showing top 7 of 7 providers billing this code