Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1267 of 11K

G0100

HCPCS Procedure Code

HCPCS code G0100 is the #1,267 most-billed Medicaid procedure code, with $30.1M in payments across 403K claims from 2018–2024. The national median cost per claim is $82.82.

Total Paid

$30.1M

0.00% of all spending

Total Claims

403K

Providers

25

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for G0100? Based on 25 providers billing this code nationally.

Median

$82.82

Average

$108.40

Std Dev

$86.38

Max

$436.05

Percentile Distribution (Cost per Claim)

p10
$54.24
p25
$63.81
Median
$82.82
p75
$124.45
p90
$158.30
p95
$269.16
p99
$402.38

50% of providers bill between $63.81 and $124.45 per claim for this code.

90% bill between $54.24 and $158.30.

Top 1% bill above $402.38.

About This Procedure

HCPCS code G0100 was billed by 25 providers across 403K claims, totaling $30.1M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.82

Providers Billing

25

National Spending

$30.1M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0100

#ProviderTotal Paid
1Caregivers Home Health Tx Inc

Richardson, TX · Nursing Care

$4.9M
21346579265$4.0M
3Disability Services Of The Southwest, Inc

San Antonio, TX · Day Training, Developmentally Disabled Services

$3.7M
4Texas Visiting Nurse Service, Ltd.

Harlingen, TX · Emergency Response System Companies

$2.9M
5Astrocare Class, Inc.

Houston, TX · Home Health

$2.8M
6First Primary Home Care, Inc

Harlingen, TX · Hospice Care, Community Based

$1.6M
71336454461$1.5M
81730587064$1.1M
91710178090$1.1M
101568591725$1.1M
111194052670$910K
121083866321$751K
131023193380$656K
141093172520$638K
151689821860$609K
161518144633$535K
171053622779$454K
181538127022$229K
191366522096$170K
201760562417$154K

Showing top 20 of 25 providers billing this code