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

#2221 of 11K

G0127

Trimming of dystrophic nails, any number

Trimming of dystrophic nails, any number is the #2,221 most-billed Medicaid procedure code, with $7.7M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $2.87. Costs vary widely — the 90th percentile is $9.61 per claim, 3.3× the median.

Total Paid

$7.7M

0.00% of all spending

Total Claims

2.3M

Providers

1K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for G0127? Based on 1K providers billing this code nationally.

Median

$2.87

Average

$4.67

Std Dev

$7.51

Max

$126.05

Percentile Distribution (Cost per Claim)

p10
$0.55
p25
$1.38
Median
$2.87
p75
$5.34
p90
$9.61
p95
$13.30
p99
$36.01

50% of providers bill between $1.38 and $5.34 per claim for this code.

90% bill between $0.55 and $9.61.

Top 1% bill above $36.01.

About This Procedure

HCPCS code G0127 (Trimming of dystrophic nails, any number) was billed by 1K providers across 2.3M claims, totaling $7.7M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.87

Providers Billing

1K

National Spending

$7.7M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0127

#ProviderTotal Paid
11720037138$918K
21689613598$506K
31770514101$371K
41003066747$257K
51669835310$240K
61679504427$238K
71760436190$231K
81417251935$215K
91619958071$131K
101073804712$112K
111720017528$97K
121134407331$96K
131942734280$89K
141386183473$89K
151801874227$75K
16The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$71K
171932347697$64K
181487654042$63K
191821248568$62K
201013013002$51K

Showing top 20 of 1K providers billing this code