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#125 of 11K

T1002

RN services, per 15 minutes

RN services, per 15 minutes is the #125 most-billed Medicaid procedure code, with $1.52B in payments across 13.9M claims from 2018–2024. The national median cost per claim is $37.42. Costs vary widely — the 90th percentile is $215.33 per claim, 5.8× the median.

Total Paid

$1.52B

0.14% of all spending

Total Claims

13.9M

Providers

3K

Avg Cost/Claim

$109

National Cost Distribution

How much do providers bill per claim for T1002? Based on 2K providers billing this code nationally.

Median

$37.42

Average

$97.29

Std Dev

$358.53

Max

$8,826.05

Percentile Distribution (Cost per Claim)

p10
$9.27
p25
$17.37
Median
$37.42
p75
$73.44
p90
$215.33
p95
$412.60
p99
$677.48

50% of providers bill between $17.37 and $73.44 per claim for this code.

90% bill between $9.27 and $215.33.

Top 1% bill above $677.48.

About This Procedure

HCPCS code T1002 (RN services, per 15 minutes) was billed by 3K providers across 13.9M claims, totaling $1.52B in Medicaid payments from 2018–2024. This code was used for 6.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.42

Providers Billing

2K

National Spending

$1.52B

Avg/Median Ratio

2.60×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T1002

#ProviderTotal Paid
1Centrus Premier Home Care Inc

Plymouth, MA · Home Health

$123.4M
2Northeast Arc Inc

Danvers, MA · Home Health

$62.8M
3Bayada Home Health Care Inc.

Toms River, NJ · Home Health

$62.4M
4Starlight Home Care Agency Inc

Saddle Brook, NJ · Home Health

$51.3M
5Shriver Nursing Services Inc

Westborough, MA · Nursing Care

$44.8M
6Preferred Home Health Care & Nursing Services Inc.

Mount Laurel, NJ · Home Health

$41.9M
7Bayada Home Health Care Inc.

Foxboro, MA · Home Health

$26.4M
8Pediatria Healthcare Llc

Needham, MA · Home Health

$26.3M
91528059805$26.1M
10Pediatric Services Of America Llc

Brockton, MA · Nursing Care

$26.1M
111225394588$21.6M
12New England Home Health Services Inc.

Lexington, MA · Home Health

$21.2M
131942201959$18.2M
14Apex Human Services Llc

Secane, PA · Home Health

$17.5M
151467544833$16.7M
16Towne Pediatric Homecare Llc

Howell, NJ · Home Health

$16.0M
171811925308$14.6M
18The Board Of Education Of The City Of Chicago

Chicago, IL · Local Education Agency (LEA)

$14.6M
19Provident Home Healthcare Llc

St Anthony, MN · Home Health

$13.9M
20Pediatric Services Of America Llc

Plymouth, MA · Home Health

$13.7M

Showing top 20 of 3K providers billing this code