#6080 of 11K

G0237

HCPCS Procedure Code

HCPCS code G0237 is the #6,080 most-billed Medicaid procedure code, with $97K in payments across 37K claims from 2018–2024. The national median cost per claim is $6.51. Costs vary widely — the 90th percentile is $38.35 per claim, 5.9× the median.

Total Paid

$97K

0.00% of all spending

Total Claims

37K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0237? Based on 19 providers billing this code nationally.

Median

$6.51

Average

$14.65

Std Dev

$15.58

Max

$45.83

Percentile Distribution (Cost per Claim)

p10

$0.82

p25

$1.86

Median

$6.51

p75

$27.42

p90

$38.35

p95

$42.20

p99

$45.11

50% of providers bill between $1.86 and $27.42 per claim for this code.

90% bill between $0.82 and $38.35.

Top 1% bill above $45.11.

About This Procedure

HCPCS code G0237 was billed by 31 providers across 37K claims, totaling $97K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.51

Providers Billing

National Spending

$97K

Avg/Median Ratio

2.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0237

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1912334517	$42K	$37.49	5.8× median	Above 75th
2	1790706695	$26K	$18.40	2.8× median	Above Median
3	1285029140	$8K	$2.47	0.4× median	Below Median
4	Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital	$6K	$41.79	6.4× median	Top 10%
5	1205588324	$3K	$5.66	0.9× median	Below Median
6	1972973204	$2K	$1.32	0.2× median	Below Median
7	University Of Kentucky Lexington, KY · General Acute Care Hospital	$2K	$28.87	4.4× median	Above 75th
8	1891801999	$2K	$25.98	4.0× median	Above Median
9	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$1K	$45.83	7.0× median	Top 1%
10	Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder	$1K	$30.63	4.7× median	Above 75th
11	1265425136	$779	$2.95	0.5× median	Below Median
12	1750491973	$737	$11.70	1.8× median	Above Median
13	Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital	$617	$1.29	0.2× median	Below Median
14	1992764658	$569	$13.24	2.0× median	Above Median
15	1710943881	$267	$0.27	0.0× median	Below Median
16	1528023520	$209	$0.78	0.1× median	Below Median
17	1548205818	$206	$2.40	0.4× median	Below Median
18	1205824737	$98	$6.51	1.0× median	Above Median
19	1619401528	$44	$0.84	0.1× median	Below Median
20	1972262335	$0	$0.00	0.0× median	Below Median

Showing top 20 of 31 providers billing this code

Related Procedures

G0238$6.5M G0227$4.5M G0228$1.6M G0239$167K G0247$79K

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