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#2351 of 11K

G0238

HCPCS Procedure Code

HCPCS code G0238 is the #2,351 most-billed Medicaid procedure code, with $6.5M in payments across 149K claims from 2018–2024. The national median cost per claim is $48.01.

Total Paid

$6.5M

0.00% of all spending

Total Claims

149K

Providers

46

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for G0238? Based on 40 providers billing this code nationally.

Median

$48.01

Average

$41.84

Std Dev

$36.70

Max

$145.28

Percentile Distribution (Cost per Claim)

p10
$1.37
p25
$9.29
Median
$48.01
p75
$62.79
p90
$70.53
p95
$97.46
p99
$144.79

50% of providers bill between $9.29 and $62.79 per claim for this code.

90% bill between $1.37 and $70.53.

Top 1% bill above $144.79.

About This Procedure

HCPCS code G0238 was billed by 46 providers across 149K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.01

Providers Billing

40

National Spending

$6.5M

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0238

#ProviderTotal Paid
11003210535$2.2M
21669808663$890K
31184946139$673K
41437564184$618K
51164824975$455K
61235155839$316K
71356500136$260K
81295489391$173K
91568076339$157K
101841758299$140K
111235421991$94K
121992001192$79K
131316966518$76K
141396963559$71K
151447522685$49K
16Nova Rehabilitation Inc.

Miami, FL · Home Health

$44K
171972140002$23K
181720033715$23K
191942562061$22K
201790706695$19K

Showing top 20 of 46 providers billing this code