#3361 of 11K

W1002

HCPCS Procedure Code

HCPCS code W1002 is the #3,361 most-billed Medicaid procedure code, with $1.9M in payments across 33K claims from 2018–2024. The national median cost per claim is $56.94.

Total Paid

$1.9M

0.00% of all spending

Total Claims

33K

Providers

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for W1002? Based on 28 providers billing this code nationally.

Median

$56.94

Average

$56.53

Std Dev

$11.84

Max

$75.15

Percentile Distribution (Cost per Claim)

p10

$46.96

p25

$53.66

Median

$56.94

p75

$61.32

p90

$70.16

p95

$73.01

p99

$74.63

50% of providers bill between $53.66 and $61.32 per claim for this code.

90% bill between $46.96 and $70.16.

Top 1% bill above $74.63.

About This Procedure

HCPCS code W1002 was billed by 28 providers across 33K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.94

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for W1002

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Comprehensive Nursing Services Inc Nottingham, MD · Home Health	$281K	$60.08	1.1× median	Above Median
2	Quality One Care Home Health Inc. Silver Spring, MD · Home Health	$240K	$64.21	1.1× median	Above 75th
3	1467492231	$163K	$60.03	1.1× median	Above Median
4	Mssf Inc Catonsville, MD · Home Health	$162K	$58.77	1.0× median	Above Median
5	Community Care Nursing Services Inc. Parkville, MD · Nursing Care	$158K	$51.04	0.9× median	Below Median
6	Home Health Connection Inc. Bethesda, MD · Home Health	$135K	$60.93	1.1× median	Above Median
7	High Quality Care Nursing Inc Laurel, MD · Nursing Care	$110K	$59.13	1.0× median	Above Median
8	Elite Healthcare Nursing Services Inc. Baltimore, MD · Home Health	$103K	$62.50	1.1× median	Above 75th
9	Karen For Kids, Inc Lanham, MD · Home Health	$93K	$59.35	1.0× median	Above Median
10	1912094897	$52K	$56.19	1.0× median	Below Median
11	1932245057	$43K	$56.11	1.0× median	Below Median
12	1033223243	$42K	$57.39	1.0× median	Above Median
13	1992844054	$37K	$56.49	1.0× median	Below Median
14	1376551317	$32K	$66.13	1.2× median	Above 75th
15	Automatic Nursing Care Services Inc. Silver Spring, MD · Home Health	$30K	$17.36	0.3× median	Below Median
16	1942349808	$26K	$69.10	1.2× median	Above 75th
17	Providence Care Inc Riverdale, MD · Nursing Care	$24K	$52.07	0.9× median	Below Median
18	1154446458	$22K	$51.97	0.9× median	Below Median
19	1689638488	$21K	$73.22	1.3× median	Top 10%
20	1942329453	$19K	$54.97	1.0× median	Below Median

Showing top 20 of 28 providers billing this code

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