G0155
Services of clinical social worker in home health, per 15 min
Services of clinical social worker in home health, per 15 min is the #1,743 most-billed Medicaid procedure code, with $14.9M in payments across 952K claims from 2018–2024. The national median cost per claim is $7.04. Costs vary widely — the 90th percentile is $139.54 per claim, 19.8× the median.
Total Paid
$14.9M
0.00% of all spending
Total Claims
952K
Providers
881
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for G0155? Based on 396 providers billing this code nationally.
Median
$7.04
Average
$48.07
Std Dev
$74.74
Max
$578.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.37 and $78.99 per claim for this code.
90% bill between $0.08 and $139.54.
Top 1% bill above $289.03.
About This Procedure
HCPCS code G0155 (Services of clinical social worker in home health, per 15 min) was billed by 881 providers across 952K claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 567K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.04
Providers Billing
396
National Spending
$14.9M
Avg/Median Ratio
6.83×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0155
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417058397 | $2.5M |
| 2 | 1083643944 | $1.5M |
| 3 | 1841591062 | $532K |
| 4 | 1124173059 | $468K |
| 5 | 1245437920 | $455K |
| 6 | 1790869568 | $450K |
| 7 | 1720147408 | $446K |
| 8 | 1245236306 | $393K |
| 9 | 1598828436 | $364K |
| 10 | 1598810509 | $356K |
| 11 | 1912052838 | $334K |
| 12 | 1871144725 | $322K |
| 13 | 1649209412 | $310K |
| 14 | 1245385244 | $289K |
| 15 | 1184013369 | $269K |
| 16 | 1801921853 | $267K |
| 17 | 1275510844 | $265K |
| 18 | 1982829537 | $239K |
| 19 | 1194899138 | $237K |
| 20 | 1861464471 | $227K |
Showing top 20 of 881 providers billing this code