#5991 of 11K

G2011

HCPCS Procedure Code

HCPCS code G2011 is the #5,991 most-billed Medicaid procedure code, with $109K in payments across 19K claims from 2018–2024. The national median cost per claim is $2.36. Costs vary widely — the 90th percentile is $40.90 per claim, 17.3× the median.

Total Paid

$109K

0.00% of all spending

Total Claims

19K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G2011? Based on 39 providers billing this code nationally.

Median

$2.36

Average

$10.78

Std Dev

$16.65

Max

$54.35

Percentile Distribution (Cost per Claim)

p10

$0.54

p25

$1.22

Median

$2.36

p75

$9.37

p90

$40.90

p95

$50.30

p99

$54.07

50% of providers bill between $1.22 and $9.37 per claim for this code.

90% bill between $0.54 and $40.90.

Top 1% bill above $54.07.

About This Procedure

HCPCS code G2011 was billed by 47 providers across 19K claims, totaling $109K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.36

Providers Billing

National Spending

$109K

Avg/Median Ratio

4.57×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G2011

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1689220352	$37K	$8.25	3.5× median	Above Median
2	1467529529	$32K	$43.51	18.4× median	Top 10%
3	1083101075	$11K	$1.49	0.6× median	Below Median
4	Stanislaus County Bhrs Modesto, CA · Community/Behavioral Health	$4K	$40.24	17.1× median	Above 75th
5	1457716102	$4K	$5.12	2.2× median	Above Median
6	County Of San Diego San Diego, CA · Public Health or Welfare	$4K	$49.94	21.2× median	Top 10%
7	1366618035	$3K	$13.65	5.8× median	Above 75th
8	1841799707	$3K	$1.09	0.5× median	Below Median
9	County Of Sacramento Sacramento, CA · Community/Behavioral Health	$3K	$54.35	23.0× median	Top 1%
10	1871973628	$2K	$33.49	14.2× median	Above 75th
11	1073546354	$1K	$33.21	14.1× median	Above 75th
12	Contra Costa County Martinez, CA · General Acute Care Hospital	$1K	$53.62	22.7× median	Top 10%
13	1619324969	$1K	$4.33	1.8× median	Above Median
14	1558885749	$698	$2.30	1.0× median	Below Median
15	1700869450	$484	$8.80	3.7× median	Above Median
16	County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center)	$318	$9.94	4.2× median	Above 75th
17	1700922150	$306	$4.50	1.9× median	Above Median
18	1295918969	$267	$3.22	1.4× median	Above Median
19	1558356741	$250	$20.81	8.8× median	Above 75th
20	1710453550	$219	$2.36	1.0× median	Below Median

Showing top 20 of 47 providers billing this code

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