#2823 of 11K

G0179

Physician recertification for home health plan of care

Physician recertification for home health plan of care is the #2,823 most-billed Medicaid procedure code, with $3.5M in payments across 537K claims from 2018–2024. The national median cost per claim is $6.63. Costs vary widely — the 90th percentile is $16.10 per claim, 2.4× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

537K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0179? Based on 1K providers billing this code nationally.

Median

$6.63

Average

$7.89

Std Dev

$7.10

Max

$50.00

Percentile Distribution (Cost per Claim)

p10

$0.84

p25

$2.86

Median

$6.63

p75

$10.40

p90

$16.10

p95

$20.72

p99

$36.91

50% of providers bill between $2.86 and $10.40 per claim for this code.

90% bill between $0.84 and $16.10.

Top 1% bill above $36.91.

About This Procedure

HCPCS code G0179 (Physician recertification for home health plan of care) was billed by 1K providers across 537K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 505K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.63

Providers Billing

National Spending

$3.5M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0179

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$270K	$18.46	2.8× median	Top 10%
2	Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology	$146K	$21.70	3.3× median	Top 10%
3	1336153295	$96K	$8.98	1.4× median	Above Median
4	1346254281	$61K	$9.54	1.4× median	Above Median
5	1487169660	$60K	$7.81	1.2× median	Above Median
6	1578019485	$54K	$11.43	1.7× median	Above 75th
7	1669468419	$54K	$7.78	1.2× median	Above Median
8	1679510499	$52K	$7.12	1.1× median	Above Median
9	1639171143	$52K	$18.01	2.7× median	Top 10%
10	1982793733	$47K	$8.23	1.2× median	Above Median
11	1972147304	$42K	$31.11	4.7× median	Top 10%
12	1598236408	$40K	$21.35	3.2× median	Top 10%
13	1407395692	$36K	$6.42	1.0× median	Below Median
14	1497700397	$36K	$9.32	1.4× median	Above Median
15	1740280171	$33K	$15.98	2.4× median	Above 75th
16	1821101809	$33K	$6.26	0.9× median	Below Median
17	1922259787	$31K	$12.46	1.9× median	Above 75th
18	1871549741	$28K	$11.64	1.8× median	Above 75th
19	1689919599	$26K	$10.25	1.5× median	Above Median
20	Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital	$25K	$13.92	2.1× median	Above 75th

Showing top 20 of 1K providers billing this code

Related Procedures

G0176Activity therapy (group), per session$102.3M G0175$11.6M G0181$7.5M G0177Training and educational services, per session$6.7M G0180$2.2M

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