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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447684030 | $2.5M |
| 2 | 1508067349 | $2.4M |
| 3 | 1396951091 | $1.9M |
| 4 | 1386753010 | $1.9M |
| 5 | 1588928337 | $1.5M |
| 6 | 1831317049 | $797K |
| 7 | 1346390986 | $579K |
| 8 | 1538444625 | $495K |
| 9 | 1588032130 | $371K |
| 10 | 1902240088 | $335K |
| 11 | 1790732436 | $244K |
| 12 | 1558534115 | $221K |
| 13 | 1073506002 | $190K |
| 14 | 1578667887 | $159K |
| 15 | 1194099127 | $128K |
| 16 | 1336128636 | $93K |
| 17 | 1205887452 | $77K |
| 18 | 1508898008 | $54K |
| 19 | 1255440061 | $52K |
| 20 | 1881121747 | $42K |
Showing top 20 of 114 providers billing this code