#348 of 11K

T1021

Home health aide visit, per 15 min

Home health aide visit, per 15 min is the #348 most-billed Medicaid procedure code, with $374.4M in payments across 9.8M claims from 2018–2024. The national median cost per claim is $44.79. Costs vary widely — the 90th percentile is $112.27 per claim, 2.5× the median.

Total Paid

$374.4M

0.03% of all spending

Total Claims

9.8M

Providers

448

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for T1021? Based on 438 providers billing this code nationally.

Median

$44.79

Average

$68.63

Std Dev

$106.83

Max

$1,616.01

Percentile Distribution (Cost per Claim)

p10

$14.50

p25

$23.81

Median

$44.79

p75

$82.40

p90

$112.27

p95

$213.47

p99

$441.36

50% of providers bill between $23.81 and $82.40 per claim for this code.

90% bill between $14.50 and $112.27.

Top 1% bill above $441.36.

About This Procedure

HCPCS code T1021 (Home health aide visit, per 15 min) was billed by 448 providers across 9.8M claims, totaling $374.4M in Medicaid payments from 2018–2024. This code was used for 572K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.79

Providers Billing

438

National Spending

$374.4M

Avg/Median Ratio

1.53×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T1021

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Southern Home Care Services Inc. Valdosta, GA · Home Health	$56.0M	$62.13	1.4× median	Above Median
2	Integrated Home Care Services Inc. Miramar, FL · Case Management	$39.5M	$17.87	0.4× median	Below Median
3	1952449704	$13.4M	$61.53	1.4× median	Above Median
4	1417341777	$9.4M	$48.57	1.1× median	Above Median
5	1588930705	$8.7M	$177.57	4.0× median	Top 10%
6	1174546063	$7.2M	$214.00	4.8× median	Top 10%
7	1275581597	$6.9M	$48.60	1.1× median	Above Median
8	Ariza Quality Medical Services Inc Miami, FL · Home Health	$6.9M	$21.35	0.5× median	Below Median
9	1265545388	$5.6M	$19.85	0.4× median	Below Median
10	1386642965	$4.9M	$270.15	6.0× median	Top 10%
11	1891819744	$4.9M	$27.79	0.6× median	Below Median
12	1245224096	$4.5M	$213.37	4.8× median	Top 10%
13	1083610869	$4.5M	$47.19	1.1× median	Above Median
14	1194785261	$4.1M	$1,616.01	36.1× median	Top 1%
15	1790182814	$3.9M	$49.23	1.1× median	Above Median
16	1962670091	$3.9M	$28.68	0.6× median	Below Median
17	1073624151	$3.8M	$24.24	0.5× median	Below Median
18	1881705705	$3.7M	$37.14	0.8× median	Below Median
19	1013156470	$3.6M	$233.24	5.2× median	Top 10%
20	Caring Professional Services Inc Hialeah, FL · Home Health	$3.3M	$31.79	0.7× median	Below Median

Showing top 20 of 448 providers billing this code

Related Procedures

T1019Personal care services, per 15 min$122.74B T1015Clinic visit/encounter, all-inclusive$49.15B T1017Targeted case management, per 15 min$8.42B T1020Personal care services, per diem$8.21B T1016Case management, each 15 min$5.21B

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