G0109
Diabetes self-management training, group
Diabetes self-management training, group is the #4,024 most-billed Medicaid procedure code, with $920K in payments across 34K claims from 2018–2024. The national median cost per claim is $27.23. Costs vary widely — the 90th percentile is $60.84 per claim, 2.2× the median.
Total Paid
$920K
0.00% of all spending
Total Claims
34K
Providers
94
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for G0109? Based on 88 providers billing this code nationally.
Median
$27.23
Average
$34.57
Std Dev
$37.84
Max
$310.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.45 and $39.64 per claim for this code.
90% bill between $6.76 and $60.84.
Top 1% bill above $167.64.
About This Procedure
HCPCS code G0109 (Diabetes self-management training, group) was billed by 94 providers across 34K claims, totaling $920K in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.23
Providers Billing
88
National Spending
$920K
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0109
| # | Provider | Total Paid |
|---|---|---|
| 1 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $100K |
| 2 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $87K |
| 3 | 1861409823 | $70K |
| 4 | 1093158347 | $56K |
| 5 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $45K |
| 6 | 1396292280 | $43K |
| 7 | 1780004358 | $43K |
| 8 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $36K |
| 9 | 1598717480 | $34K |
| 10 | 1063441293 | $34K |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $34K |
| 12 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $23K |
| 13 | 1407100183 | $21K |
| 14 | 1265689111 | $20K |
| 15 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $19K |
| 16 | 1487297958 | $17K |
| 17 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $16K |
| 18 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $15K |
| 19 | Indiana University Health Care Associates, Inc Indianapolis, IN · Physician Assistant | $13K |
| 20 | 1427360700 | $12K |
Showing top 20 of 94 providers billing this code