T1004
Services of a qualified nursing aide, per 15 minutes
Services of a qualified nursing aide, per 15 minutes is the #210 most-billed Medicaid procedure code, with $738.4M in payments across 14.6M claims from 2018–2024. The national median cost per claim is $50.30.
Total Paid
$738.4M
0.07% of all spending
Total Claims
14.6M
Providers
772
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for T1004? Based on 747 providers billing this code nationally.
Median
$50.30
Average
$57.44
Std Dev
$48.24
Max
$379.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.75 and $75.65 per claim for this code.
90% bill between $5.67 and $99.21.
Top 1% bill above $269.36.
About This Procedure
HCPCS code T1004 (Services of a qualified nursing aide, per 15 minutes) was billed by 772 providers across 14.6M claims, totaling $738.4M in Medicaid payments from 2018–2024. This code was used for 858K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.30
Providers Billing
747
National Spending
$738.4M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T1004
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215963822 | $50.2M |
| 2 | Utopia Home Care Inc East Haven, CT · Home Health | $25.9M |
| 3 | Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health | $17.5M |
| 4 | New England Home Care Inc. Rocky Hill, CT · Home Health | $13.2M |
| 5 | Caring Professional Services Inc Hialeah, FL · Home Health | $12.5M |
| 6 | 1134128895 | $12.0M |
| 7 | 1306198197 | $10.6M |
| 8 | 1922209162 | $10.6M |
| 9 | Lovable Family Home Care Llc Pembroke Pines, FL · Day Training Developmentally Disabled Services | $8.1M |
| 10 | 1023492261 | $8.1M |
| 11 | 1992194583 | $7.9M |
| 12 | 1922512094 | $7.9M |
| 13 | 1053620260 | $7.8M |
| 14 | 1932551835 | $7.8M |
| 15 | 1578544961 | $7.7M |
| 16 | International Health Solutions Inc Lawrence, MA · Home Health | $7.0M |
| 17 | 1023320967 | $6.8M |
| 18 | 1366572810 | $6.3M |
| 19 | 1376959205 | $6.0M |
| 20 | 1548638216 | $5.8M |
Showing top 20 of 772 providers billing this code