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#1090 of 11K

G0162

Skilled services by RN in home health, per 15 min

Skilled services by RN in home health, per 15 min is the #1,090 most-billed Medicaid procedure code, with $41.9M in payments across 846K claims from 2018–2024. The national median cost per claim is $59.83. Costs vary widely — the 90th percentile is $133.44 per claim, 2.2× the median.

Total Paid

$41.9M

0.00% of all spending

Total Claims

846K

Providers

398

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for G0162? Based on 298 providers billing this code nationally.

Median

$59.83

Average

$70.18

Std Dev

$46.08

Max

$360.00

Percentile Distribution (Cost per Claim)

p10
$27.33
p25
$34.82
Median
$59.83
p75
$95.28
p90
$133.44
p95
$138.91
p99
$225.05

50% of providers bill between $34.82 and $95.28 per claim for this code.

90% bill between $27.33 and $133.44.

Top 1% bill above $225.05.

About This Procedure

HCPCS code G0162 (Skilled services by RN in home health, per 15 min) was billed by 398 providers across 846K claims, totaling $41.9M in Medicaid payments from 2018–2024. This code was used for 680K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.83

Providers Billing

298

National Spending

$41.9M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0162

#ProviderTotal Paid
1New England Home Care Inc.

Rocky Hill, CT · Home Health

$5.0M
21215963822$4.1M
3Utopia Home Care Inc

East Haven, CT · Home Health

$2.5M
41578544961$2.1M
51013230499$2.0M
61356499099$1.3M
71457434003$930K
8Centerwell Certified Healthcare Corp.

Stratford, CT · Home Health

$856K
91932367554$787K
101134128895$748K
111679901953$698K
121336488956$675K
131891726568$618K
141043217482$613K
151306198197$602K
161497078315$585K
171649627662$555K
181003969114$491K
191891745196$484K
201538160247$478K

Showing top 20 of 398 providers billing this code