T1503
HCPCS Procedure Code
HCPCS code T1503 is the #3,544 most-billed Medicaid procedure code, with $1.5M in payments across 38K claims from 2018–2024. The national median cost per claim is $48.74.
Total Paid
$1.5M
0.00% of all spending
Total Claims
38K
Providers
27
Avg Cost/Claim
$40
National Cost Distribution
How much do providers bill per claim for T1503? Based on 16 providers billing this code nationally.
Median
$48.74
Average
$48.22
Std Dev
$14.54
Max
$71.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.97 and $56.54 per claim for this code.
90% bill between $30.61 and $67.63.
Top 1% bill above $71.46.
About This Procedure
HCPCS code T1503 was billed by 27 providers across 38K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.74
Providers Billing
16
National Spending
$1.5M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T1503
| # | Provider | Total Paid |
|---|---|---|
| 1 | Utopia Home Care Inc East Haven, CT · Home Health | $523K |
| 2 | Advantage Home Health Care Services Llc Hyannis, MA · Home Health | $410K |
| 3 | 1174962633 | $156K |
| 4 | Innovive Health Of Massachusetts Llc Medford, MA · Home Health | $106K |
| 5 | 1144519109 | $98K |
| 6 | 1588662449 | $81K |
| 7 | 1215354873 | $41K |
| 8 | 1184796328 | $40K |
| 9 | 1003246083 | $33K |
| 10 | 1942557327 | $19K |
| 11 | 1871748210 | $8K |
| 12 | 1609173129 | $8K |
| 13 | 1831494848 | $3K |
| 14 | Yale New Haven Health At Home Inc. Milford, CT · Home Health | $2K |
| 15 | 1043217482 | $2K |
| 16 | Comfort Home Care Llc Methuen, MA · Home Health | $1K |
| 17 | Quick Med Urgent Care Llc Youngstown, OH · Clinic/Center Urgent Care | $0 |
| 18 | 1770993453 | $0 |
| 19 | 1952432635 | $0 |
| 20 | 1528297579 | $0 |
Showing top 20 of 27 providers billing this code