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#1323 of 11K

G0157

Services of PT assistant in home health, per 15 min

Services of PT assistant in home health, per 15 min is the #1,323 most-billed Medicaid procedure code, with $27.6M in payments across 882K claims from 2018–2024. The national median cost per claim is $43.94. Costs vary widely — the 90th percentile is $110.55 per claim, 2.5× the median.

Total Paid

$27.6M

0.00% of all spending

Total Claims

882K

Providers

657

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for G0157? Based on 219 providers billing this code nationally.

Median

$43.94

Average

$51.56

Std Dev

$46.88

Max

$250.00

Percentile Distribution (Cost per Claim)

p10
$0.86
p25
$6.54
Median
$43.94
p75
$82.43
p90
$110.55
p95
$134.86
p99
$163.49

50% of providers bill between $6.54 and $82.43 per claim for this code.

90% bill between $0.86 and $110.55.

Top 1% bill above $163.49.

About This Procedure

HCPCS code G0157 (Services of PT assistant in home health, per 15 min) was billed by 657 providers across 882K claims, totaling $27.6M in Medicaid payments from 2018–2024. This code was used for 209K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.94

Providers Billing

219

National Spending

$27.6M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0157

#ProviderTotal Paid
11386753010$3.4M
21336562206$2.5M
31841345592$2.1M
41881778462$1.7M
51508067349$863K
61790732436$768K
71952459158$670K
81336128636$637K
91558534115$625K
101720208697$583K
111902328354$570K
121194099127$568K
131881121747$563K
141447684030$553K
151578667887$528K
161396167524$519K
171629023056$428K
181588928337$425K
191508898008$395K
201801891023$392K

Showing top 20 of 657 providers billing this code