T1020
Personal care services, per diem
Personal care services, per diem is the #18 most-billed Medicaid procedure code, with $8.21B in payments across 33.5M claims from 2018–2024. The national median cost per claim is $296.27. Costs vary widely — the 90th percentile is $1,399.61 per claim, 4.7× the median.
Total Paid
$8.21B
0.75% of all spending
Total Claims
33.5M
Providers
1K
Avg Cost/Claim
$245
National Cost Distribution
How much do providers bill per claim for T1020? Based on 1K providers billing this code nationally.
Median
$296.27
Average
$594.25
Std Dev
$1,124.65
Max
$13,886.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $152.42 and $373.62 per claim for this code.
90% bill between $62.18 and $1,399.61.
Top 1% bill above $5,928.78.
About This Procedure
HCPCS code T1020 (Personal care services, per diem) was billed by 1K providers across 33.5M claims, totaling $8.21B in Medicaid payments from 2018–2024. This code was used for 5.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$296.27
Providers Billing
1K
National Spending
$8.21B
Avg/Median Ratio
2.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T1020
| # | Provider | Total Paid |
|---|---|---|
| 1 | Moore Center Services Inc. Manchester, NH · Early Intervention Provider Agency | $192.2M |
| 2 | Assistcarehome Healthcare Services Brooklyn, NY · Home Health | $168.0M |
| 3 | Premier Home Health Care Services Inc New York, NY · Home Health | $141.7M |
| 4 | Gateways Community Services Nashua, NH · Early Intervention Provider Agency | $138.2M |
| 5 | Community Bridges Concord, NH · Case Management | $137.0M |
| 6 | Concepts Of Independence Inc. New York, NY · Home Health | $114.2M |
| 7 | Nae Edison Llc Brooklyn, NY · Home Health | $113.5M |
| 8 | Americare Inc. Brooklyn, NY · Home Health | $109.3M |
| 9 | Bnv Home Care Agency Inc. Rego Park, NY · Home Health | $103.4M |
| 10 | Region Viii, One Sky Community Services Inc. Portsmouth, NH · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $102.4M |
| 11 | Platinum Home Health Care Inc. Brooklyn, NY · Home Health | $99.0M |
| 12 | All Metro Home Care Services Of New York, Inc. Lynbrook, NY · Home Health | $98.0M |
| 13 | Community Health Aide Services Inc. Monsey, NY · Home Health | $97.8M |
| 14 | Monadnock Developmental Services Keene, NH · Case Management | $96.4M |
| 15 | Northern Human Services Conway, NH · Clinic/Center, Developmental Disabilities | $94.0M |
| 16 | Behavioral Health And Developmental Services Of Strafford County, Inc Dover, NH · Clinic/Center, Developmental Disabilities | $93.0M |
| 17 | Community Crossroads, Inc. Atkinson, NH · Day Training, Developmentally Disabled Services | $90.5M |
| 18 | Bestcare Inc Levittown, NY · Home Health | $90.5M |
| 19 | Developmental Services Of Sullivan County, Inc. Claremont, NH · Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | $90.1M |
| 20 | Home Health Care Services Of Ny Brooklyn, NY · Home Health | $86.8M |
Showing top 20 of 1K providers billing this code