G0159
Services of clinical social worker in home health, per 15 min
Services of clinical social worker in home health, per 15 min is the #2,496 most-billed Medicaid procedure code, with $5.3M in payments across 60K claims from 2018–2024. The national median cost per claim is $60.00.
Total Paid
$5.3M
0.00% of all spending
Total Claims
60K
Providers
85
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for G0159? Based on 17 providers billing this code nationally.
Median
$60.00
Average
$71.31
Std Dev
$41.67
Max
$139.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.63 and $103.85 per claim for this code.
90% bill between $23.21 and $118.75.
Top 1% bill above $135.85.
About This Procedure
HCPCS code G0159 (Services of clinical social worker in home health, per 15 min) was billed by 85 providers across 60K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.00
Providers Billing
17
National Spending
$5.3M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0159
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1457772535 | $5.1M |
| 2 | 1356343396 | $82K |
| 3 | 1518969617 | $23K |
| 4 | 1326259177 | $21K |
| 5 | 1083797880 | $16K |
| 6 | El Mirador Incorporated Albuquerque, NM · Home Health | $12K |
| 7 | 1639401011 | $11K |
| 8 | 1649203431 | $6K |
| 9 | 1205980240 | $6K |
| 10 | 1346580610 | $5K |
| 11 | 1508267444 | $5K |
| 12 | 1801891023 | $5K |
| 13 | 1346540580 | $5K |
| 14 | 1194099127 | $4K |
| 15 | 1568834653 | $3K |
| 16 | 1407830706 | $661 |
| 17 | 1306384672 | $305 |
| 18 | 1508809526 | $0 |
| 19 | 1992144042 | $0 |
| 20 | 1538725585 | $0 |
Showing top 20 of 85 providers billing this code