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#103 of 11K

G0299

Skilled nursing services, home health, per visit, RN

Skilled nursing services, home health, per visit, RN is the #103 most-billed Medicaid procedure code, with $1.91B in payments across 34.0M claims from 2018–2024. The national median cost per claim is $51.67. Costs vary widely — the 90th percentile is $126.88 per claim, 2.5× the median.

Total Paid

$1.91B

0.17% of all spending

Total Claims

34.0M

Providers

4K

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for G0299? Based on 3K providers billing this code nationally.

Median

$51.67

Average

$68.18

Std Dev

$83.38

Max

$1,617.21

Percentile Distribution (Cost per Claim)

p10
$1.53
p25
$29.31
Median
$51.67
p75
$87.09
p90
$126.88
p95
$158.17
p99
$406.99

50% of providers bill between $29.31 and $87.09 per claim for this code.

90% bill between $1.53 and $126.88.

Top 1% bill above $406.99.

About This Procedure

HCPCS code G0299 (Skilled nursing services, home health, per visit, RN) was billed by 4K providers across 34.0M claims, totaling $1.91B in Medicaid payments from 2018–2024. This code was used for 6.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$51.67

Providers Billing

3K

National Spending

$1.91B

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0299

#ProviderTotal Paid
1Innovive Health Of Massachusetts Llc

Medford, MA · Home Health

$73.0M
21538282637$42.5M
3Comfort Home Care Llc

Methuen, MA · Home Health

$36.9M
41700277670$33.8M
5Maxim Healthcare Services Inc.

Portland, ME · Home Health

$27.1M
61841591062$23.6M
71417058397$18.6M
81235294380$17.8M
91841520368$16.0M
101679573281$15.5M
111467412296$13.9M
121083643944$13.3M
131053320341$13.0M
14Teamselect Home Care Of Colorado Llc

Pueblo, CO · Home Health

$12.9M
151871748210$11.7M
161588662449$11.6M
171831494848$11.3M
18Community Behavioral Nursing Services Inc

Fairlawn, OH · Home Health

$11.3M
191144519109$11.2M
201790091122$11.2M

Showing top 20 of 4K providers billing this code