#1545 of 11K

G0384

HCPCS Procedure Code

HCPCS code G0384 is the #1,545 most-billed Medicaid procedure code, with $19.7M in payments across 45K claims from 2018–2024. The national median cost per claim is $128.12. Costs vary widely — the 90th percentile is $316.49 per claim, 2.5× the median.

Total Paid

$19.7M

0.00% of all spending

Total Claims

45K

Providers

Avg Cost/Claim

$438

National Cost Distribution

How much do providers bill per claim for G0384? Based on 34 providers billing this code nationally.

Median

$128.12

Average

$156.94

Std Dev

$157.09

Max

$612.26

Percentile Distribution (Cost per Claim)

p10

$1.84

p25

$24.15

Median

$128.12

p75

$205.64

p90

$316.49

p95

$536.30

p99

$599.83

50% of providers bill between $24.15 and $205.64 per claim for this code.

90% bill between $1.84 and $316.49.

Top 1% bill above $599.83.

About This Procedure

HCPCS code G0384 was billed by 35 providers across 45K claims, totaling $19.7M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$128.12

Providers Billing

National Spending

$19.7M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0384

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316394638	$10.2M	$574.58	4.5× median	Top 10%
2	1205283538	$6.3M	$612.26	4.8× median	Top 1%
3	Lawrence And Memorial Hospital, Inc. New London, CT · Internal Medicine	$1.2M	$313.20	2.4× median	Above 75th
4	1629075734	$358K	$217.72	1.7× median	Above 75th
5	1952309098	$352K	$142.50	1.1× median	Above Median
6	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$248K	$213.24	1.7× median	Above 75th
7	1154368116	$245K	$240.42	1.9× median	Above 75th
8	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$192K	$155.32	1.2× median	Above Median
9	1306845557	$115K	$169.87	1.3× median	Above Median
10	Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital	$96K	$186.72	1.5× median	Above Median
11	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$95K	$154.72	1.2× median	Above Median
12	1871507509	$88K	$515.69	4.0× median	Top 10%
13	1558313213	$64K	$125.19	1.0× median	Below Median
14	1487865184	$25K	$317.91	2.5× median	Top 10%
15	1104821305	$24K	$111.69	0.9× median	Below Median
16	1093713091	$22K	$131.06	1.0× median	Above Median
17	1023114634	$18K	$110.81	0.9× median	Below Median
18	Mainehealth Portland, ME · Emergency Medicine	$9K	$211.95	1.7× median	Above 75th
19	1053373480	$5K	$104.97	0.8× median	Below Median
20	1952890873	$4K	$117.58	0.9× median	Below Median

Showing top 20 of 35 providers billing this code

Related Procedures

G0378Hospital observation service, per hour$2.16B G0390$66.9M G0382$36.3M G0379Direct admission to hospital observation$30.8M G0383$22.5M

← All procedures Top providers →