#2923 of 11K

G0154

Services of skilled nurse in home health, per 15 min

Services of skilled nurse in home health, per 15 min is the #2,923 most-billed Medicaid procedure code, with $3.0M in payments across 47K claims from 2018–2024. The national median cost per claim is $70.85.

Total Paid

$3.0M

0.00% of all spending

Total Claims

47K

Providers

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for G0154? Based on 38 providers billing this code nationally.

Median

$70.85

Average

$77.97

Std Dev

$31.91

Max

$172.09

Percentile Distribution (Cost per Claim)

p10

$53.21

p25

$60.28

Median

$70.85

p75

$91.56

p90

$119.03

p95

$140.89

p99

$162.37

50% of providers bill between $60.28 and $91.56 per claim for this code.

90% bill between $53.21 and $119.03.

Top 1% bill above $162.37.

About This Procedure

HCPCS code G0154 (Services of skilled nurse in home health, per 15 min) was billed by 48 providers across 47K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.85

Providers Billing

National Spending

$3.0M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0154

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1205928439	$340K	$90.65	1.3× median	Above Median
2	1669478020	$335K	$91.86	1.3× median	Above 75th
3	1649275868	$290K	$66.41	0.9× median	Below Median
4	1083640650	$236K	$59.60	0.8× median	Below Median
5	1295838662	$186K	$70.26	1.0× median	Below Median
6	1225184963	$158K	$74.28	1.0× median	Above Median
7	1730162579	$157K	$65.25	0.9× median	Below Median
8	1558369603	$150K	$82.53	1.2× median	Above Median
9	1215966205	$148K	$79.28	1.1× median	Above Median
10	1205806676	$146K	$74.49	1.1× median	Above Median
11	1740242718	$144K	$140.02	2.0× median	Top 10%
12	1134287303	$132K	$63.03	0.9× median	Below Median
13	1144400805	$100K	$113.71	1.6× median	Above 75th
14	1992881478	$91K	$71.45	1.0× median	Above Median
15	1194812255	$70K	$60.70	0.9× median	Below Median
16	1376626903	$43K	$76.72	1.1× median	Above Median
17	1952707382	$39K	$56.04	0.8× median	Below Median
18	1306978945	$35K	$66.14	0.9× median	Below Median
19	1932438843	$32K	$58.16	0.8× median	Below Median
20	1104067826	$31K	$127.71	1.8× median	Top 10%

Showing top 20 of 48 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 G0153Services of SLP in home health, per 15 min$142.6M G0162Skilled services by RN in home health, per 15 min$41.9M

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