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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386753010 | $3.4M |
| 2 | 1336562206 | $2.5M |
| 3 | 1841345592 | $2.1M |
| 4 | 1881778462 | $1.7M |
| 5 | 1508067349 | $863K |
| 6 | 1790732436 | $768K |
| 7 | 1952459158 | $670K |
| 8 | 1336128636 | $637K |
| 9 | 1558534115 | $625K |
| 10 | 1720208697 | $583K |
| 11 | 1902328354 | $570K |
| 12 | 1194099127 | $568K |
| 13 | 1881121747 | $563K |
| 14 | 1447684030 | $553K |
| 15 | 1578667887 | $528K |
| 16 | 1396167524 | $519K |
| 17 | 1629023056 | $428K |
| 18 | 1588928337 | $425K |
| 19 | 1508898008 | $395K |
| 20 | 1801891023 | $392K |
Showing top 20 of 657 providers billing this code