G0175
HCPCS Procedure Code
HCPCS code G0175 is the #1,916 most-billed Medicaid procedure code, with $11.6M in payments across 243K claims from 2018–2024. The national median cost per claim is $51.98. Costs vary widely — the 90th percentile is $202.99 per claim, 3.9× the median.
Total Paid
$11.6M
0.00% of all spending
Total Claims
243K
Providers
47
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for G0175? Based on 34 providers billing this code nationally.
Median
$51.98
Average
$82.92
Std Dev
$78.29
Max
$271.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.37 and $101.66 per claim for this code.
90% bill between $7.47 and $202.99.
Top 1% bill above $270.83.
About This Procedure
HCPCS code G0175 was billed by 47 providers across 243K claims, totaling $11.6M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.98
Providers Billing
34
National Spending
$11.6M
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0175
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mosaic Newark, DE · Community Based Residential Treatment Facility Mental Illness | $2.3M |
| 2 | 1972916815 | $2.2M |
| 3 | Conexio Care Inc. Claymont, DE · Psychologist Intellectual & Developmental Disabilities | $1.0M |
| 4 | National Mentor Healthcare Llc Millsboro, DE · Psychologist Intellectual & Developmental Disabilities | $993K |
| 5 | 1760476659 | $834K |
| 6 | Chimes Metro Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $711K |
| 7 | Resources For Human Development Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $674K |
| 8 | Keystone Service Systems Inc. Newark, DE · Psychologist Intellectual & Developmental Disabilities | $659K |
| 9 | 1679704746 | $644K |
| 10 | 1851004808 | $330K |
| 11 | 1356612857 | $322K |
| 12 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $211K |
| 13 | Old Colony Elderly Services, Inc. Brockton, MA · Case Management | $132K |
| 14 | 1598185670 | $125K |
| 15 | Krossroads Integrative Health And Recovery Solutions Inc Albuquerque, NM · Case Manager/Care Coordinator | $124K |
| 16 | 1649697657 | $106K |
| 17 | 1316422256 | $52K |
| 18 | 1427179076 | $45K |
| 19 | Old Colony Elderly Services, Inc. Brockton, MA · Case Management | $26K |
| 20 | 1922463470 | $14K |
Showing top 20 of 47 providers billing this code