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#465 of 11K

G0152

Occupational therapy services, home health, per visit

Occupational therapy services, home health, per visit is the #465 most-billed Medicaid procedure code, with $205.2M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $68.93. Costs vary widely — the 90th percentile is $143.82 per claim, 2.1× the median.

Total Paid

$205.2M

0.02% of all spending

Total Claims

2.5M

Providers

1K

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for G0152? Based on 938 providers billing this code nationally.

Median

$68.93

Average

$82.53

Std Dev

$80.69

Max

$1,225.89

Percentile Distribution (Cost per Claim)

p10
$12.12
p25
$46.87
Median
$68.93
p75
$106.63
p90
$143.82
p95
$174.11
p99
$308.52

50% of providers bill between $46.87 and $106.63 per claim for this code.

90% bill between $12.12 and $143.82.

Top 1% bill above $308.52.

About This Procedure

HCPCS code G0152 (Occupational therapy services, home health, per visit) was billed by 1K providers across 2.5M claims, totaling $205.2M in Medicaid payments from 2018–2024. This code was used for 833K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.93

Providers Billing

938

National Spending

$205.2M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0152

#ProviderTotal Paid
11679617955$10.5M
21386753010$6.8M
3Medstar Health Visiting Nurse Association Inc.

Greenbelt, MD · Home Health

$4.4M
41790899524$4.2M
51063763530$4.0M
61528094109$3.1M
7Department Of Intellectual And Developmental Disabilities, State Of Tn

Nashville, TN · Public Health or Welfare

$3.0M
81205860764$3.0M
91508067349$2.9M
101275510844$2.6M
111245232347$2.6M
121831317049$2.2M
131447684030$2.1M
141871123901$2.1M
151346281425$2.0M
161396951091$2.0M
171417058397$1.9M
18Teamselect Home Care Of Colorado Llc

Aurora, CO · Home Health

$1.9M
191083643944$1.9M
201346390986$1.9M

Showing top 20 of 1K providers billing this code