#572 of 11K

G0153

Services of SLP in home health, per 15 min

Services of SLP in home health, per 15 min is the #572 most-billed Medicaid procedure code, with $142.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $101.43.

Total Paid

$142.6M

0.01% of all spending

Total Claims

1.2M

Providers

336

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for G0153? Based on 317 providers billing this code nationally.

Median

$101.43

Average

$106.67

Std Dev

$98.85

Max

$1,499.15

Percentile Distribution (Cost per Claim)

p10

$38.82

p25

$65.36

Median

$101.43

p75

$135.03

p90

$153.85

p95

$176.92

p99

$308.08

50% of providers bill between $65.36 and $135.03 per claim for this code.

90% bill between $38.82 and $153.85.

Top 1% bill above $308.08.

About This Procedure

HCPCS code G0153 (Services of SLP in home health, per 15 min) was billed by 336 providers across 1.2M claims, totaling $142.6M in Medicaid payments from 2018–2024. This code was used for 405K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$101.43

Providers Billing

317

National Spending

$142.6M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0153

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1386753010	$24.4M	$186.63	1.8× median	Top 10%
2	1952328858	$6.5M	$123.45	1.2× median	Above Median
3	1881751337	$6.2M	$107.57	1.1× median	Above Median
4	Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare	$6.0M	$92.29	0.9× median	Below Median
5	1679617955	$5.7M	$136.06	1.3× median	Above 75th
6	1063763530	$5.1M	$65.36	0.6× median	Below Median
7	1205860764	$3.5M	$134.34	1.3× median	Above Median
8	1952334450	$3.5M	$131.64	1.3× median	Above Median
9	1043769615	$2.9M	$136.02	1.3× median	Above 75th
10	Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare	$2.8M	$89.47	0.9× median	Below Median
11	1639214059	$2.0M	$139.36	1.4× median	Above 75th
12	1508227240	$2.0M	$123.51	1.2× median	Above Median
13	1427150630	$1.9M	$126.91	1.3× median	Above Median
14	Teamselect Home Care Of Colorado Llc Aurora, CO · Home Health	$1.8M	$103.28	1.0× median	Above Median
15	1871850099	$1.8M	$118.36	1.2× median	Above Median
16	1508249632	$1.7M	$141.12	1.4× median	Above 75th
17	1417162405	$1.7M	$136.46	1.3× median	Above 75th
18	1043605892	$1.6M	$139.22	1.4× median	Above 75th
19	1245232347	$1.6M	$133.80	1.3× median	Above Median
20	1750774378	$1.6M	$142.94	1.4× median	Above 75th

Showing top 20 of 336 providers billing this code

Related Procedures

G0156Home health aide services, per visit$2.49B G0151Physical therapy services, home health, per visit$548.8M G0152Occupational therapy services, home health, per visit$205.2M G0162Skilled services by RN in home health, per 15 min$41.9M G0157Services of PT assistant in home health, per 15 min$27.6M

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