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#1445 of 11K

G9007

HCPCS Procedure Code

HCPCS code G9007 is the #1,445 most-billed Medicaid procedure code, with $23.0M in payments across 765K claims from 2018–2024. The national median cost per claim is $43.44. Costs vary widely — the 90th percentile is $107.98 per claim, 2.5× the median.

Total Paid

$23.0M

0.00% of all spending

Total Claims

765K

Providers

321

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for G9007? Based on 213 providers billing this code nationally.

Median

$43.44

Average

$56.07

Std Dev

$74.43

Max

$642.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.82
Median
$43.44
p75
$90.67
p90
$107.98
p95
$166.06
p99
$362.43

50% of providers bill between $0.82 and $90.67 per claim for this code.

90% bill between $0.00 and $107.98.

Top 1% bill above $362.43.

About This Procedure

HCPCS code G9007 was billed by 321 providers across 765K claims, totaling $23.0M in Medicaid payments from 2018–2024. This code was used for 434K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.44

Providers Billing

213

National Spending

$23.0M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9007

#ProviderTotal Paid
1Wv Birth To Three

Charleston, WV · Early Intervention Provider Agency

$5.8M
2John F Murphy Homes Inc.

Auburn, ME · Nursing Facility/Intermediate Care Facility

$2.6M
31508077157$1.3M
41053721688$1.2M
51851436141$1.0M
61184831323$870K
71548597776$677K
81891938304$668K
91023151958$586K
101780717322$567K
111811470701$560K
121629519830$524K
131740340132$412K
141437361805$358K
151992917595$322K
16Waypoint Maine Inc.

Sanford, ME · Case Management

$280K
171548319353$279K
181427407477$273K
191881034452$266K
201013223361$226K

Showing top 20 of 321 providers billing this code