G0156
Home health aide services, per visit
Home health aide services, per visit is the #78 most-billed Medicaid procedure code, with $2.49B in payments across 49.7M claims from 2018–2024. The national median cost per claim is $39.42. Costs vary widely — the 90th percentile is $207.65 per claim, 5.3× the median.
Total Paid
$2.49B
0.23% of all spending
Total Claims
49.7M
Providers
2K
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for G0156? Based on 1K providers billing this code nationally.
Median
$39.42
Average
$92.75
Std Dev
$275.80
Max
$4,660.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.07 and $57.13 per claim for this code.
90% bill between $16.55 and $207.65.
Top 1% bill above $820.95.
About This Procedure
HCPCS code G0156 (Home health aide services, per visit) was billed by 2K providers across 49.7M claims, totaling $2.49B in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.42
Providers Billing
1K
National Spending
$2.49B
Avg/Median Ratio
2.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0156
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mystic Valley Elder Services Inc. Malden, MA · Case Management | $84.1M |
| 2 | Americare Healthcare Services, Inc Blacklick, OH · Home Health | $76.1M |
| 3 | Americare Certified Special Services Inc. Brooklyn, NY · Home Health | $60.1M |
| 4 | Elder Services Of Cape Cod And The Islands South Dennis, MA · Case Management | $55.0M |
| 5 | Agespan Inc. Lawrence, MA · Case Management | $51.7M |
| 6 | 1679899959 | $49.3M |
| 7 | Springwell Watertown, MA · Case Management | $43.3M |
| 8 | 1457587222 | $41.4M |
| 9 | 1508990490 | $36.5M |
| 10 | Teamselect Home Care Of Colorado Llc Aurora, CO · Home Health | $30.8M |
| 11 | 1790091122 | $27.1M |
| 12 | Old Colony Elderly Services, Inc. Brockton, MA · Case Management | $26.3M |
| 13 | 1154453371 | $25.9M |
| 14 | 1588970263 | $25.8M |
| 15 | 1003969114 | $25.4M |
| 16 | 1588915144 | $24.9M |
| 17 | 1649457383 | $23.9M |
| 18 | 1568583235 | $21.7M |
| 19 | 1174749113 | $21.0M |
| 20 | 1205172574 | $18.1M |
Showing top 20 of 2K providers billing this code