#3851 of 11K

G0495

Skilled services of LPN in home health

Skilled services of LPN in home health is the #3,851 most-billed Medicaid procedure code, with $1.1M in payments across 343K claims from 2018–2024. The national median cost per claim is $42.60. Costs vary widely — the 90th percentile is $125.13 per claim, 2.9× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

343K

Providers

279

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0495? Based on 47 providers billing this code nationally.

Median

$42.60

Average

$55.23

Std Dev

$53.53

Max

$213.49

Percentile Distribution (Cost per Claim)

p10

$0.77

p25

$5.58

Median

$42.60

p75

$89.86

p90

$125.13

p95

$151.74

p99

$189.01

50% of providers bill between $5.58 and $89.86 per claim for this code.

90% bill between $0.77 and $125.13.

Top 1% bill above $189.01.

About This Procedure

HCPCS code G0495 (Skilled services of LPN in home health) was billed by 279 providers across 343K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 122K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.60

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0495

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1912052838	$259K	$126.73	3.0× median	Top 10%
2	1962849570	$136K	$80.08	1.9× median	Above Median
3	1831412741	$94K	$122.16	2.9× median	Above 75th
4	1639627433	$68K	$36.37	0.9× median	Below Median
5	1649205212	$65K	$91.09	2.1× median	Above 75th
6	1710097977	$53K	$102.39	2.4× median	Above 75th
7	1396774147	$52K	$91.94	2.2× median	Above 75th
8	1932162096	$43K	$77.92	1.8× median	Above Median
9	1841291002	$39K	$114.00	2.7× median	Above 75th
10	1598810509	$34K	$134.80	3.2× median	Top 10%
11	1003871344	$33K	$42.60	1.0× median	Below Median
12	1295182830	$31K	$54.38	1.3× median	Above Median
13	1710032735	$26K	$160.28	3.8× median	Top 10%
14	1073595245	$25K	$78.33	1.8× median	Above Median
15	1659577971	$21K	$88.62	2.1× median	Above Median
16	1407995152	$15K	$104.14	2.4× median	Above 75th
17	1225197072	$13K	$55.73	1.3× median	Above Median
18	1003068180	$12K	$62.00	1.5× median	Above Median
19	1477651362	$11K	$124.06	2.9× median	Above 75th
20	1083644017	$9K	$8.96	0.2× median	Below Median

Showing top 20 of 279 providers billing this code

Related Procedures

G0500$6.3M G0499$6.2M G0493$1.7M G0498$1.6M G0496$685K

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