#1930 of 11K

G0101

Cervical/vaginal cancer screening; pelvic exam

Cervical/vaginal cancer screening; pelvic exam is the #1,930 most-billed Medicaid procedure code, with $11.4M in payments across 574K claims from 2018–2024. The national median cost per claim is $21.28.

Total Paid

$11.4M

0.00% of all spending

Total Claims

574K

Providers

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for G0101? Based on 909 providers billing this code nationally.

Median

$21.28

Average

$22.25

Std Dev

$19.27

Max

$199.48

Percentile Distribution (Cost per Claim)

p10

$2.13

p25

$10.89

Median

$21.28

p75

$30.30

p90

$37.03

p95

$43.51

p99

$89.92

50% of providers bill between $10.89 and $30.30 per claim for this code.

90% bill between $2.13 and $37.03.

Top 1% bill above $89.92.

About This Procedure

HCPCS code G0101 (Cervical/vaginal cancer screening; pelvic exam) was billed by 1K providers across 574K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 533K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.28

Providers Billing

909

National Spending

$11.4M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0101

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1154355220	$399K	$49.33	2.3× median	Top 10%
2	1942475793	$340K	$32.65	1.5× median	Above 75th
3	1073633574	$297K	$30.72	1.4× median	Above 75th
4	Waianae District Comprehensive Health And Hospital Board, Inc Waianae, HI · Pediatrics	$237K	$121.78	5.7× median	Top 1%
5	1699733071	$231K	$31.33	1.5× median	Above 75th
6	University Of Kentucky Lexington, KY · General Acute Care Hospital	$227K	$39.03	1.8× median	Top 10%
7	1366418709	$204K	$32.16	1.5× median	Above 75th
8	1053651208	$197K	$25.46	1.2× median	Above Median
9	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$180K	$38.93	1.8× median	Top 10%
10	1841508793	$179K	$28.25	1.3× median	Above Median
11	1750766762	$173K	$33.40	1.6× median	Above 75th
12	Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital	$159K	$22.64	1.1× median	Above Median
13	1225086887	$155K	$189.84	8.9× median	Top 1%
14	1366710915	$152K	$38.36	1.8× median	Top 10%
15	1073543856	$150K	$38.39	1.8× median	Top 10%
16	1437398138	$148K	$31.86	1.5× median	Above 75th
17	1851650550	$148K	$24.61	1.2× median	Above Median
18	1043533383	$128K	$32.51	1.5× median	Above 75th
19	1992736300	$123K	$17.56	0.8× median	Below Median
20	The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital	$122K	$74.65	3.5× median	Top 10%

Showing top 20 of 1K providers billing this code

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