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#24 of 11K

T1000

Private duty/independent nursing service(s)

Private duty/independent nursing service(s) is the #24 most-billed Medicaid procedure code, with $7.01B in payments across 16.8M claims from 2018–2024. The national median cost per claim is $402.76.

Total Paid

$7.01B

0.64% of all spending

Total Claims

16.8M

Providers

489

Avg Cost/Claim

$418

National Cost Distribution

How much do providers bill per claim for T1000? Based on 484 providers billing this code nationally.

Median

$402.76

Average

$409.22

Std Dev

$323.88

Max

$4,032.27

Percentile Distribution (Cost per Claim)

p10
$110.37
p25
$268.62
Median
$402.76
p75
$470.18
p90
$588.59
p95
$733.87
p99
$1,762.64

50% of providers bill between $268.62 and $470.18 per claim for this code.

90% bill between $110.37 and $588.59.

Top 1% bill above $1,762.64.

About This Procedure

HCPCS code T1000 (Private duty/independent nursing service(s)) was billed by 489 providers across 16.8M claims, totaling $7.01B in Medicaid payments from 2018–2024. This code was used for 764K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$402.76

Providers Billing

484

National Spending

$7.01B

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T1000

#ProviderTotal Paid
1Aoc Tx Llc

Sherman, TX · Home Health

$603.0M
2Phoenix Home Care, Llc

Springfield, MO · Nursing Care

$199.6M
3Vivicare Health Partners, Llc

Fort Worth, TX · Nursing Care

$122.4M
4D & D Services Inc

Tulsa, OK · Home Health

$119.3M
5Ageless Living Home Health Llc

Fort Worth, TX · Community/Behavioral Health

$102.6M
6Connect Home Health Llc

North Richland Hills, TX · Home Health

$89.6M
71689699837$80.5M
81174758478$79.5M
9Advantage Nursing Services Inc

Oak Forest, IL · Home Health

$79.2M
10Hope Pediatrics Llc

Richardson, TX · Home Health

$76.5M
11Epic Health Services, Inc.

Houston, TX · Home Health

$71.7M
121790926574$71.5M
13Miracle Hands Healthcare Services

Sugar Land, TX · Home Health

$66.0M
14Maxim Healthcare Services, Inc.

Overland Park, KS · Home Health

$64.4M
15Centria Healthcare Llc

Farmington Hills, MI · Home Health

$62.5M
161306800172$61.9M
171669700647$61.8M
181417271859$61.2M
19Pyra Med Health Services Llc

San Antonio, TX · Home Health

$60.1M
20Epic Health Services, Inc.

Pharr, TX · Home Health

$59.3M

Showing top 20 of 489 providers billing this code