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#1450 of 11K

G8510

HCPCS Procedure Code

HCPCS code G8510 is the #1,450 most-billed Medicaid procedure code, with $22.9M in payments across 14.5M claims from 2018–2024. The national median cost per claim is $1.96. Costs vary widely — the 90th percentile is $13.65 per claim, 7.0× the median.

Total Paid

$22.9M

0.00% of all spending

Total Claims

14.5M

Providers

9K

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for G8510? Based on 4K providers billing this code nationally.

Median

$1.96

Average

$4.99

Std Dev

$7.08

Max

$150.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.08
Median
$1.96
p75
$9.23
p90
$13.65
p95
$14.67
p99
$26.57

50% of providers bill between $0.08 and $9.23 per claim for this code.

90% bill between $0.00 and $13.65.

Top 1% bill above $26.57.

About This Procedure

HCPCS code G8510 was billed by 9K providers across 14.5M claims, totaling $22.9M in Medicaid payments from 2018–2024. This code was used for 12.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.96

Providers Billing

4K

National Spending

$22.9M

Avg/Median Ratio

2.55×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G8510

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · Anesthesiology

$1.1M
2Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$941K
3Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$852K
41831268580$437K
5Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$376K
61760043723$362K
71225685332$352K
8Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$261K
91215903018$242K
101134622970$241K
111730258765$232K
121295165645$230K
131063480218$226K
141730295296$197K
15University Physicians Incorporated

Aurora, CO · Anesthesiology

$193K
16Topcare Medical Group Inc

Dallas, TX · Pediatrics

$191K
171689009854$187K
181285795773$142K
19South County Community Health Center Inc

East Palo Alto, CA · Clinic/Center Primary Care

$136K
201992709653$133K

Showing top 20 of 9K providers billing this code

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