T1005
Respite care services, per 15 minutes
Respite care services, per 15 minutes is the #117 most-billed Medicaid procedure code, with $1.72B in payments across 23.7M claims from 2018–2024. The national median cost per claim is $71.40. Costs vary widely — the 90th percentile is $195.81 per claim, 2.7× the median.
Total Paid
$1.72B
0.16% of all spending
Total Claims
23.7M
Providers
2K
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for T1005? Based on 2K providers billing this code nationally.
Median
$71.40
Average
$112.35
Std Dev
$161.92
Max
$2,617.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.91 and $111.64 per claim for this code.
90% bill between $37.82 and $195.81.
Top 1% bill above $947.38.
About This Procedure
HCPCS code T1005 (Respite care services, per 15 minutes) was billed by 2K providers across 23.7M claims, totaling $1.72B in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.40
Providers Billing
2K
National Spending
$1.72B
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for T1005
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships Llc Alpharetta, GA · Supports Brokerage | $60.9M |
| 2 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $33.1M |
| 3 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $30.2M |
| 4 | Pro Care Unlimited, Inc Southfield, MI · Home Health | $28.3M |
| 5 | 1700174901 | $28.0M |
| 6 | Palco, Inc. Maumelle, AR · Supports Brokerage | $21.4M |
| 7 | Carepeople Home Health, Inc Centreville, VA · Hospice Care, Community Based | $20.5M |
| 8 | Stuart T.wilson C.p.a.,p.c. Midland, MI · Supports Brokerage | $18.8M |
| 9 | 1114285863 | $18.4M |
| 10 | Agape Health Management Inc Alexandria, VA · Home Health | $17.6M |
| 11 | Advance Hi-tech Nursing Inc. San Antonio, TX · Technician Personal Care Attendant | $17.2M |
| 12 | 1336338763 | $15.1M |
| 13 | The Arc Of Oakland County Inc Troy, MI · Voluntary or Charitable | $14.2M |
| 14 | 1184041519 | $13.3M |
| 15 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $12.6M |
| 16 | 1225286081 | $12.4M |
| 17 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $12.3M |
| 18 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $12.2M |
| 19 | Seven Counties Services Inc. Louisville, KY · Clinic/Center Developmental Disabilities | $11.0M |
| 20 | 1922448984 | $10.7M |
Showing top 20 of 2K providers billing this code