T1003
LPN/LVN services, per 15 minutes
LPN/LVN services, per 15 minutes is the #71 most-billed Medicaid procedure code, with $2.76B in payments across 12.4M claims from 2018–2024. The national median cost per claim is $24.24. Costs vary widely — the 90th percentile is $479.46 per claim, 19.8× the median.
Total Paid
$2.76B
0.25% of all spending
Total Claims
12.4M
Providers
1K
Avg Cost/Claim
$222
National Cost Distribution
How much do providers bill per claim for T1003? Based on 1K providers billing this code nationally.
Median
$24.24
Average
$178.81
Std Dev
$490.06
Max
$8,248.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.14 and $201.68 per claim for this code.
90% bill between $6.33 and $479.46.
Top 1% bill above $2,027.77.
About This Procedure
HCPCS code T1003 (LPN/LVN services, per 15 minutes) was billed by 1K providers across 12.4M claims, totaling $2.76B in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.24
Providers Billing
1K
National Spending
$2.76B
Avg/Median Ratio
7.38×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for T1003
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bayada Home Health Care Inc. Toms River, NJ · Home Health | $126.4M |
| 2 | Preferred Home Health Care & Nursing Services Inc. Mount Laurel, NJ · Home Health | $112.4M |
| 3 | Starlight Home Care Agency Inc Saddle Brook, NJ · Home Health | $91.8M |
| 4 | High Quality Care Nursing Inc Laurel, MD · Nursing Care | $77.1M |
| 5 | Centrus Premier Home Care Inc Plymouth, MA · Home Health | $71.2M |
| 6 | Quality One Care Home Health Inc. Silver Spring, MD · Home Health | $57.8M |
| 7 | Greater New York Home Care Llc Brooklyn, NY · Home Health | $48.6M |
| 8 | Community Care Nursing Services Inc. Parkville, MD · Nursing Care | $48.4M |
| 9 | Home Health Connection Inc. Bethesda, MD · Home Health | $46.1M |
| 10 | Elite Healthcare Nursing Services Inc. Baltimore, MD · Home Health | $45.4M |
| 11 | Comprehensive Nursing Services Inc Nottingham, MD · Home Health | $44.3M |
| 12 | Automatic Nursing Care Services Inc. Silver Spring, MD · Home Health | $43.8M |
| 13 | 1689638488 | $40.0M |
| 14 | 1942329453 | $36.6M |
| 15 | Mssf Inc Catonsville, MD · Home Health | $36.2M |
| 16 | White Glove Community Care, Inc. Brick, NJ · Case Management | $33.8M |
| 17 | 1114003985 | $33.1M |
| 18 | 1699908269 | $32.4M |
| 19 | 1124355227 | $30.6M |
| 20 | Bayada Home Health Care, Inc. Monroeville, PA · Home Health | $29.5M |
Showing top 20 of 1K providers billing this code