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#3314 of 11K

G9011

HCPCS Procedure Code

HCPCS code G9011 is the #3,314 most-billed Medicaid procedure code, with $1.9M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $39.92. Costs vary widely — the 90th percentile is $87.30 per claim, 2.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

1.1M

Providers

68

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for G9011? Based on 24 providers billing this code nationally.

Median

$39.92

Average

$93.42

Std Dev

$305.03

Max

$1,515.87

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$39.92
p75
$40.13
p90
$87.30
p95
$132.47
p99
$1,199.47

50% of providers bill between $0.00 and $40.13 per claim for this code.

90% bill between $0.00 and $87.30.

Top 1% bill above $1,199.47.

About This Procedure

HCPCS code G9011 was billed by 68 providers across 1.1M claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 811K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.92

Providers Billing

24

National Spending

$1.9M

Avg/Median Ratio

2.34×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9011

#ProviderTotal Paid
11083743538$710K
21699161034$635K
31760443584$130K
41710005889$117K
51932116191$107K
61265441877$80K
71447305784$70K
81972556496$29K
9Prisma Health University Medical Group

Greenville, SC · Internal Medicine

$16K
101881719086$16K
111336174770$15K
121578890273$9K
131528151362$8K
141205805181$7K
151891822995$450
161831397645$177
171326116476$4
181134128820$0
19Centerstone Of Tennessee Inc.

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$0
201396739165$0

Showing top 20 of 68 providers billing this code