G0226
HCPCS Procedure Code
HCPCS code G0226 is the #1,164 most-billed Medicaid procedure code, with $36.1M in payments across 177K claims from 2018–2024. The national median cost per claim is $204.14.
Total Paid
$36.1M
0.00% of all spending
Total Claims
177K
Providers
15
Avg Cost/Claim
$204
National Cost Distribution
How much do providers bill per claim for G0226? Based on 15 providers billing this code nationally.
Median
$204.14
Average
$200.79
Std Dev
$11.97
Max
$206.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $202.46 and $204.49 per claim for this code.
90% bill between $201.37 and $205.48.
Top 1% bill above $206.10.
About This Procedure
HCPCS code G0226 was billed by 15 providers across 177K claims, totaling $36.1M in Medicaid payments from 2018–2024. This code was used for 177K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$204.14
Providers Billing
15
National Spending
$36.1M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0226
| # | Provider | Total Paid |
|---|---|---|
| 1 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $14.5M |
| 2 | Caregivers Home Health Tx Inc Richardson, TX · Nursing Care | $10.9M |
| 3 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $2.6M |
| 4 | Astrocare Class, Inc. Houston, TX · Home Health | $2.3M |
| 5 | 1124158175 | $1.9M |
| 6 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $804K |
| 7 | 1568591725 | $664K |
| 8 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $583K |
| 9 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $461K |
| 10 | 1093941007 | $382K |
| 11 | 1295876829 | $329K |
| 12 | 1972789048 | $313K |
| 13 | 1871658211 | $274K |
| 14 | 1588046726 | $39K |
| 15 | 1386709327 | $10K |
Showing top 15 of 15 providers billing this code