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#71 of 11K

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)

p10
$6.33
p25
$12.14
Median
$24.24
p75
$201.68
p90
$479.46
p95
$587.49
p99
$2,027.77

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

#ProviderTotal Paid
1Bayada Home Health Care Inc.

Toms River, NJ · Home Health

$126.4M
2Preferred Home Health Care & Nursing Services Inc.

Mount Laurel, NJ · Home Health

$112.4M
3Starlight Home Care Agency Inc

Saddle Brook, NJ · Home Health

$91.8M
4High Quality Care Nursing Inc

Laurel, MD · Nursing Care

$77.1M
5Centrus Premier Home Care Inc

Plymouth, MA · Home Health

$71.2M
6Quality One Care Home Health Inc.

Silver Spring, MD · Home Health

$57.8M
7Greater New York Home Care Llc

Brooklyn, NY · Home Health

$48.6M
8Community Care Nursing Services Inc.

Parkville, MD · Nursing Care

$48.4M
9Home Health Connection Inc.

Bethesda, MD · Home Health

$46.1M
10Elite Healthcare Nursing Services Inc.

Baltimore, MD · Home Health

$45.4M
11Comprehensive Nursing Services Inc

Nottingham, MD · Home Health

$44.3M
12Automatic Nursing Care Services Inc.

Silver Spring, MD · Home Health

$43.8M
131689638488$40.0M
141942329453$36.6M
15Mssf Inc

Catonsville, MD · Home Health

$36.2M
16White Glove Community Care, Inc.

Brick, NJ · Case Management

$33.8M
171114003985$33.1M
181699908269$32.4M
191124355227$30.6M
20Bayada Home Health Care, Inc.

Monroeville, PA · Home Health

$29.5M

Showing top 20 of 1K providers billing this code