#940 of 11K

G2021

Health care common procedure coding system HCPCS lvl II

Health care common procedure coding system HCPCS lvl II is the #940 most-billed Medicaid procedure code, with $56.5M in payments across 84K claims from 2018–2024. The national median cost per claim is $856.03.

Total Paid

$56.5M

0.01% of all spending

Total Claims

84K

Providers

312

Avg Cost/Claim

$670

National Cost Distribution

How much do providers bill per claim for G2021? Based on 307 providers billing this code nationally.

Median

$856.03

Average

$842.19

Std Dev

$270.27

Max

$2,056.38

Percentile Distribution (Cost per Claim)

p10

$485.34

p25

$699.53

Median

$856.03

p75

$1,036.67

p90

$1,117.60

p95

$1,153.44

p99

$1,418.49

50% of providers bill between $699.53 and $1,036.67 per claim for this code.

90% bill between $485.34 and $1,117.60.

Top 1% bill above $1,418.49.

About This Procedure

HCPCS code G2021 (Health care common procedure coding system HCPCS lvl II) was billed by 312 providers across 84K claims, totaling $56.5M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$856.03

Providers Billing

307

National Spending

$56.5M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2021

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Public Partnerships Llc Latham, NY · Supports Brokerage	$18.7M	$700.56	0.8× median	Below Median
2	Consumer Direct Care Network Virginia Missoula, MT · Home Health	$15.6M	$1,107.60	1.3× median	Above 75th
3	Northeast Pennsylvania Center For Independent Living Scranton, PA · Supports Brokerage	$1.8M	$1,108.00	1.3× median	Above 75th
4	1144494402	$946K	$187.12	0.2× median	Below Median
5	1518060318	$678K	$186.48	0.2× median	Below Median
6	Carepeople Home Health, Inc Centreville, VA · Hospice Care, Community Based	$635K	$922.67	1.1× median	Above Median
7	1659596476	$588K	$184.23	0.2× median	Below Median
8	Agape Health Management Inc Alexandria, VA · Home Health	$542K	$1,046.40	1.2× median	Above 75th
9	1164515987	$488K	$804.60	0.9× median	Below Median
10	1821395682	$482K	$188.46	0.2× median	Below Median
11	1881974210	$410K	$1,085.08	1.3× median	Above 75th
12	1629232475	$346K	$191.11	0.2× median	Below Median
13	1164722237	$345K	$1,000.98	1.2× median	Above Median
14	1629147640	$338K	$1,099.40	1.3× median	Above 75th
15	1457652265	$300K	$188.28	0.2× median	Below Median
16	1174069660	$280K	$817.02	1.0× median	Below Median
17	1922448984	$275K	$1,189.57	1.4× median	Top 10%
18	1952703514	$238K	$1,091.97	1.3× median	Above 75th
19	1225377807	$203K	$794.54	0.9× median	Below Median
20	1740694447	$185K	$188.46	0.2× median	Below Median

Showing top 20 of 312 providers billing this code

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