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#320 of 11K

T1030

Nursing care, in the home, by RN, per diem

Nursing care, in the home, by RN, per diem is the #320 most-billed Medicaid procedure code, with $423.9M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $85.62.

Total Paid

$423.9M

0.04% of all spending

Total Claims

3.6M

Providers

746

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for T1030? Based on 733 providers billing this code nationally.

Median

$85.62

Average

$150.51

Std Dev

$750.29

Max

$19,106.10

Percentile Distribution (Cost per Claim)

p10
$43.17
p25
$63.93
Median
$85.62
p75
$104.71
p90
$148.38
p95
$186.96
p99
$2,093.93

50% of providers bill between $63.93 and $104.71 per claim for this code.

90% bill between $43.17 and $148.38.

Top 1% bill above $2,093.93.

About This Procedure

HCPCS code T1030 (Nursing care, in the home, by RN, per diem) was billed by 746 providers across 3.6M claims, totaling $423.9M in Medicaid payments from 2018–2024. This code was used for 992K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.62

Providers Billing

733

National Spending

$423.9M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T1030

#ProviderTotal Paid
1The Ashley House

Federal Way, WA · Nursing Care

$45.1M
21730268384$22.4M
31528059805$12.3M
41790914109$9.9M
51588930705$9.9M
61265437982$9.2M
71649285354$8.7M
8White Earth Band Of Chippewa

White Earth, MN · Home Health

$8.4M
9Americare Certified Special Services Inc.

Brooklyn, NY · Home Health

$7.9M
101720019144$5.9M
11Marquis Home Care, Llc

Spring Valley, NY · Registered Nurse, Home Health

$5.7M
121780641092$5.6M
131841302254$5.4M
141912964818$4.8M
151255440061$4.5M
161134104573$4.4M
171588630081$4.1M
181780670711$3.9M
191730171547$3.9M
201215916903$3.7M

Showing top 20 of 746 providers billing this code