#3240 of 11K

G0180

HCPCS Procedure Code

HCPCS code G0180 is the #3,240 most-billed Medicaid procedure code, with $2.2M in payments across 243K claims from 2018–2024. The national median cost per claim is $8.31. Costs vary widely — the 90th percentile is $19.12 per claim, 2.3× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

243K

Providers

915

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0180? Based on 765 providers billing this code nationally.

Median

$8.31

Average

$9.51

Std Dev

$8.75

Max

$64.91

Percentile Distribution (Cost per Claim)

p10

$0.81

p25

$3.17

Median

$8.31

p75

$12.44

p90

$19.12

p95

$25.82

p99

$44.43

50% of providers bill between $3.17 and $12.44 per claim for this code.

90% bill between $0.81 and $19.12.

Top 1% bill above $44.43.

About This Procedure

HCPCS code G0180 was billed by 915 providers across 243K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 224K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.31

Providers Billing

765

National Spending

$2.2M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0180

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1578595971	$189K	$23.31	2.8× median	Top 10%
2	1336153295	$113K	$10.90	1.3× median	Above Median
3	1487169660	$81K	$9.92	1.2× median	Above Median
4	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$80K	$25.82	3.1× median	Top 10%
5	1578019485	$51K	$14.09	1.7× median	Above 75th
6	1033594106	$44K	$12.91	1.6× median	Above 75th
7	1417919507	$40K	$13.57	1.6× median	Above 75th
8	Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology	$36K	$22.22	2.7× median	Top 10%
9	1437572930	$35K	$10.68	1.3× median	Above Median
10	1083008072	$32K	$28.86	3.5× median	Top 10%
11	1679764096	$32K	$10.72	1.3× median	Above Median
12	1700132628	$31K	$32.02	3.9× median	Top 10%
13	1700282654	$26K	$16.02	1.9× median	Above 75th
14	1336505197	$26K	$9.16	1.1× median	Above Median
15	1396953733	$25K	$19.36	2.3× median	Top 10%
16	1063920296	$24K	$12.31	1.5× median	Above Median
17	1407368236	$24K	$20.92	2.5× median	Top 10%
18	1891702833	$23K	$13.94	1.7× median	Above 75th
19	1578901237	$22K	$23.01	2.8× median	Top 10%
20	1134660376	$20K	$12.00	1.4× median	Above Median

Showing top 20 of 915 providers billing this code

Related Procedures

G0176Activity therapy (group), per session$102.3M G0175$11.6M G0181$7.5M G0177Training and educational services, per session$6.7M G0179Physician recertification for home health plan of care$3.5M

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