Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2624 of 11K

G0227

HCPCS Procedure Code

HCPCS code G0227 is the #2,624 most-billed Medicaid procedure code, with $4.5M in payments across 41K claims from 2018–2024. The national median cost per claim is $110.80.

Total Paid

$4.5M

0.00% of all spending

Total Claims

41K

Providers

19

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for G0227? Based on 19 providers billing this code nationally.

Median

$110.80

Average

$110.52

Std Dev

$2.64

Max

$117.04

Percentile Distribution (Cost per Claim)

p10
$107.76
p25
$109.59
Median
$110.80
p75
$111.53
p90
$112.35
p95
$113.36
p99
$116.30

50% of providers bill between $109.59 and $111.53 per claim for this code.

90% bill between $107.76 and $112.35.

Top 1% bill above $116.30.

About This Procedure

HCPCS code G0227 was billed by 19 providers across 41K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$110.80

Providers Billing

19

National Spending

$4.5M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0227

#ProviderTotal Paid
1Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$1.5M
2In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$548K
3Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$490K
4Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$307K
51457537532$287K
6Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$206K
71235273582$201K
81295876829$187K
91033349394$161K
101124158175$159K
111902074446$150K
121932486925$113K
131770883548$76K
141851547681$37K
151871658211$17K
161720149982$15K
171669659140$12K
18Caregivers Home Health Tx Inc

Richardson, TX · Nursing Care

$10K
191730395914$7K

Showing top 19 of 19 providers billing this code