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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Ashley House Federal Way, WA · Nursing Care | $45.1M |
| 2 | 1730268384 | $22.4M |
| 3 | 1528059805 | $12.3M |
| 4 | 1790914109 | $9.9M |
| 5 | 1588930705 | $9.9M |
| 6 | 1265437982 | $9.2M |
| 7 | 1649285354 | $8.7M |
| 8 | White Earth Band Of Chippewa White Earth, MN · Home Health | $8.4M |
| 9 | Americare Certified Special Services Inc. Brooklyn, NY · Home Health | $7.9M |
| 10 | 1720019144 | $5.9M |
| 11 | Marquis Home Care, Llc Spring Valley, NY · Registered Nurse, Home Health | $5.7M |
| 12 | 1780641092 | $5.6M |
| 13 | 1841302254 | $5.4M |
| 14 | 1912964818 | $4.8M |
| 15 | 1255440061 | $4.5M |
| 16 | 1134104573 | $4.4M |
| 17 | 1588630081 | $4.1M |
| 18 | 1780670711 | $3.9M |
| 19 | 1730171547 | $3.9M |
| 20 | 1215916903 | $3.7M |
Showing top 20 of 746 providers billing this code