#4048 of 11K

G0432

HCPCS Procedure Code

HCPCS code G0432 is the #4,048 most-billed Medicaid procedure code, with $899K in payments across 118K claims from 2018–2024. The national median cost per claim is $6.08. Costs vary widely — the 90th percentile is $14.53 per claim, 2.4× the median.

Total Paid

$899K

0.00% of all spending

Total Claims

118K

Providers

108

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0432? Based on 75 providers billing this code nationally.

Median

$6.08

Average

$7.11

Std Dev

$7.19

Max

$34.20

Percentile Distribution (Cost per Claim)

p10

$0.03

p25

$0.34

Median

$6.08

p75

$11.75

p90

$14.53

p95

$16.11

p99

$29.28

50% of providers bill between $0.34 and $11.75 per claim for this code.

90% bill between $0.03 and $14.53.

Top 1% bill above $29.28.

About This Procedure

HCPCS code G0432 was billed by 108 providers across 118K claims, totaling $899K in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.08

Providers Billing

National Spending

$899K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0432

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$274K	$10.94	1.8× median	Above Median
2	1538244918	$117K	$15.21	2.5× median	Top 10%
3	1053356352	$74K	$10.29	1.7× median	Above Median
4	1689282147	$70K	$14.77	2.4× median	Top 10%
5	Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital	$40K	$10.50	1.7× median	Above Median
6	1447231956	$39K	$13.27	2.2× median	Above 75th
7	1699716027	$38K	$16.38	2.7× median	Top 10%
8	1063836963	$30K	$13.50	2.2× median	Above 75th
9	1316945991	$27K	$10.54	1.7× median	Above Median
10	1457304495	$25K	$10.97	1.8× median	Above Median
11	1730264128	$22K	$13.18	2.2× median	Above 75th
12	1073587937	$19K	$11.77	1.9× median	Above 75th
13	1932695525	$18K	$14.01	2.3× median	Above 75th
14	1689653487	$18K	$7.30	1.2× median	Above Median
15	1538112131	$16K	$27.55	4.5× median	Top 10%
16	1972589489	$13K	$10.66	1.8× median	Above Median
17	1275536344	$8K	$10.86	1.8× median	Above Median
18	1083736177	$6K	$3.30	0.5× median	Below Median
19	1780677039	$5K	$24.13	4.0× median	Top 10%
20	1568452290	$4K	$12.59	2.1× median	Above 75th

Showing top 20 of 108 providers billing this code

Related Procedures

G0439Annual wellness visit, subsequent visit$31.5M G0442$12.0M G0438Annual wellness visit, first visit$6.8M G0434$1.0M G0433Drug screening, definitive, per date of service$937K

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