#259 of 11K

G0151

Physical therapy services, home health, per visit

Physical therapy services, home health, per visit is the #259 most-billed Medicaid procedure code, with $548.8M in payments across 7.2M claims from 2018–2024. The national median cost per claim is $67.94. Costs vary widely — the 90th percentile is $140.33 per claim, 2.1× the median.

Total Paid

$548.8M

0.05% of all spending

Total Claims

7.2M

Providers

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for G0151? Based on 2K providers billing this code nationally.

Median

$67.94

Average

$79.64

Std Dev

$74.66

Max

$928.44

Percentile Distribution (Cost per Claim)

p10

$10.46

p25

$40.98

Median

$67.94

p75

$101.22

p90

$140.33

p95

$181.20

p99

$332.84

50% of providers bill between $40.98 and $101.22 per claim for this code.

90% bill between $10.46 and $140.33.

Top 1% bill above $332.84.

About This Procedure

HCPCS code G0151 (Physical therapy services, home health, per visit) was billed by 2K providers across 7.2M claims, totaling $548.8M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.94

Providers Billing

National Spending

$548.8M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0151

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Star Home Health Services Inc Chicago, IL · Home Health	$12.2M	$364.54	5.4× median	Top 1%
2	1679617955	$11.0M	$153.09	2.3× median	Top 10%
3	1790899524	$9.6M	$892.92	13.1× median	Top 1%
4	Medstar Health Visiting Nurse Association Inc. Greenbelt, MD · Home Health	$8.2M	$928.44	13.7× median	Top 1%
5	1528094109	$8.1M	$250.95	3.7× median	Top 10%
6	1881778462	$6.0M	$129.94	1.9× median	Above 75th
7	1245775469	$5.9M	$193.46	2.8× median	Top 10%
8	1417058397	$5.9M	$492.21	7.2× median	Top 1%
9	1083643944	$5.4M	$221.59	3.3× median	Top 10%
10	1861527012	$5.2M	$128.00	1.9× median	Above 75th
11	1881994101	$5.2M	$81.65	1.2× median	Above Median
12	1730493032	$4.9M	$108.87	1.6× median	Above 75th
13	1316157522	$4.7M	$205.84	3.0× median	Top 10%
14	1083644017	$4.5M	$45.22	0.7× median	Below Median
15	1194899138	$4.2M	$101.11	1.5× median	Above Median
16	1386753010	$4.2M	$155.96	2.3× median	Top 10%
17	1275510844	$3.8M	$84.42	1.2× median	Above Median
18	Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare	$3.6M	$90.79	1.3× median	Above Median
19	1245236306	$3.2M	$124.14	1.8× median	Above 75th
20	1417940826	$3.2M	$60.65	0.9× median	Below Median

Showing top 20 of 2K providers billing this code

Related Procedures

G0156Home health aide services, per visit$2.49B G0152Occupational therapy services, home health, per visit$205.2M G0153Services of SLP in home health, per 15 min$142.6M G0157Services of PT assistant in home health, per 15 min$27.6M G0155Services of clinical social worker in home health, per 15 min$14.9M

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