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#1771 of 11K

G0158

Services of OT assistant in home health, per 15 min

Services of OT assistant in home health, per 15 min is the #1,771 most-billed Medicaid procedure code, with $14.2M in payments across 163K claims from 2018–2024. The national median cost per claim is $52.84. Costs vary widely — the 90th percentile is $128.39 per claim, 2.4× the median.

Total Paid

$14.2M

0.00% of all spending

Total Claims

163K

Providers

114

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for G0158? Based on 56 providers billing this code nationally.

Median

$52.84

Average

$59.85

Std Dev

$47.59

Max

$163.75

Percentile Distribution (Cost per Claim)

p10
$2.73
p25
$12.61
Median
$52.84
p75
$99.29
p90
$128.39
p95
$142.84
p99
$155.73

50% of providers bill between $12.61 and $99.29 per claim for this code.

90% bill between $2.73 and $128.39.

Top 1% bill above $155.73.

About This Procedure

HCPCS code G0158 (Services of OT assistant in home health, per 15 min) was billed by 114 providers across 163K claims, totaling $14.2M in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.84

Providers Billing

56

National Spending

$14.2M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0158

#ProviderTotal Paid
11447684030$2.5M
21508067349$2.4M
31396951091$1.9M
41386753010$1.9M
51588928337$1.5M
61831317049$797K
71346390986$579K
81538444625$495K
91588032130$371K
101902240088$335K
111790732436$244K
121558534115$221K
131073506002$190K
141578667887$159K
151194099127$128K
161336128636$93K
171205887452$77K
181508898008$54K
191255440061$52K
201881121747$42K

Showing top 20 of 114 providers billing this code