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#3550 of 11K

G6064

HCPCS Procedure Code

HCPCS code G6064 is the #3,550 most-billed Medicaid procedure code, with $1.5M in payments across 35K claims from 2018–2024. The national median cost per claim is $86.23. Costs vary widely — the 90th percentile is $338.61 per claim, 3.9× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

35K

Providers

6

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for G6064? Based on 6 providers billing this code nationally.

Median

$86.23

Average

$149.52

Std Dev

$151.64

Max

$356.59

Percentile Distribution (Cost per Claim)

p10
$23.74
p25
$46.58
Median
$86.23
p75
$270.49
p90
$338.61
p95
$347.60
p99
$354.79

50% of providers bill between $46.58 and $270.49 per claim for this code.

90% bill between $23.74 and $338.61.

Top 1% bill above $354.79.

About This Procedure

HCPCS code G6064 was billed by 6 providers across 35K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$86.23

Providers Billing

6

National Spending

$1.5M

Avg/Median Ratio

1.73×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G6064

#ProviderTotal Paid
11124158175$1.2M
2Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$215K
3Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$82K
4Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$38K
5In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$34K
61932486925$938

Showing top 6 of 6 providers billing this code

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