G0176
Activity therapy (group), per session
Activity therapy (group), per session is the #698 most-billed Medicaid procedure code, with $102.3M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $85.09. Costs vary widely — the 90th percentile is $237.58 per claim, 2.8× the median.
Total Paid
$102.3M
0.01% of all spending
Total Claims
1.2M
Providers
243
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for G0176? Based on 219 providers billing this code nationally.
Median
$85.09
Average
$110.62
Std Dev
$104.75
Max
$850.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.65 and $145.51 per claim for this code.
90% bill between $15.44 and $237.58.
Top 1% bill above $475.46.
About This Procedure
HCPCS code G0176 (Activity therapy (group), per session) was billed by 243 providers across 1.2M claims, totaling $102.3M in Medicaid payments from 2018–2024. This code was used for 300K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$85.09
Providers Billing
219
National Spending
$102.3M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0176
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker | $11.7M |
| 2 | Disability Services Of The Southwest, Inc San Antonio, TX · Day Training, Developmentally Disabled Services | $11.6M |
| 3 | Caregivers Home Health Tx Inc Richardson, TX · Nursing Care | $9.9M |
| 4 | 1225439326 | $5.0M |
| 5 | 1205286549 | $4.6M |
| 6 | 1497003610 | $4.0M |
| 7 | 1851782536 | $3.2M |
| 8 | Astrocare Class, Inc. Houston, TX · Home Health | $3.0M |
| 9 | 1619278959 | $2.6M |
| 10 | 1831533470 | $1.7M |
| 11 | 1679021224 | $1.6M |
| 12 | 1033458260 | $1.6M |
| 13 | 1265095582 | $1.3M |
| 14 | 1346579265 | $1.3M |
| 15 | 1437594868 | $1.2M |
| 16 | 1962740241 | $1.2M |
| 17 | 1194023713 | $1.2M |
| 18 | 1720532765 | $1.1M |
| 19 | 1508528878 | $997K |
| 20 | Developmental Disabilities Center Lafayette, CO · Day Training Developmentally Disabled Services | $958K |
Showing top 20 of 243 providers billing this code