T1028
Assessment of home, physical & family environments
Assessment of home, physical & family environments is the #946 most-billed Medicaid procedure code, with $56.0M in payments across 596K claims from 2018–2024. The national median cost per claim is $81.30. Costs vary widely — the 90th percentile is $242.38 per claim, 3.0× the median.
Total Paid
$56.0M
0.01% of all spending
Total Claims
596K
Providers
383
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for T1028? Based on 356 providers billing this code nationally.
Median
$81.30
Average
$134.45
Std Dev
$254.96
Max
$2,500.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.10 and $100.05 per claim for this code.
90% bill between $52.45 and $242.38.
Top 1% bill above $1,324.47.
About This Procedure
HCPCS code T1028 (Assessment of home, physical & family environments) was billed by 383 providers across 596K claims, totaling $56.0M in Medicaid payments from 2018–2024. This code was used for 543K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.30
Providers Billing
356
National Spending
$56.0M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for T1028
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528679867 | $5.4M |
| 2 | 1932227790 | $5.3M |
| 3 | 1619477841 | $4.5M |
| 4 | 1720466659 | $4.0M |
| 5 | Whybee Brooklyn, NY · Case Management | $2.4M |
| 6 | 1497236418 | $2.1M |
| 7 | Seniorage Area Agency On Aging Springfield, MO · Meals | $1.3M |
| 8 | 1598131674 | $1.2M |
| 9 | 1780424044 | $1.1M |
| 10 | 1285206169 | $1.1M |
| 11 | 1942743810 | $1.0M |
| 12 | 1932643871 | $1.0M |
| 13 | Caregiver Homes Of Massachusetts Inc Auburn, MA · Case Management | $986K |
| 14 | 1003819103 | $973K |
| 15 | 1992263040 | $871K |
| 16 | A532015100 | $693K |
| 17 | A707657300 | $575K |
| 18 | 1174172092 | $574K |
| 19 | 1013421643 | $555K |
| 20 | 1417075862 | $494K |
Showing top 20 of 383 providers billing this code