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#7632 of 11K

G0509

HCPCS Procedure Code

HCPCS code G0509 is the #7,632 most-billed Medicaid procedure code, with $13K in payments across 185 claims from 2018–2024. The national median cost per claim is $88.67. Costs vary widely — the 90th percentile is $202.77 per claim, 2.3× the median.

Total Paid

$13K

0.00% of all spending

Total Claims

185

Providers

5

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for G0509? Based on 4 providers billing this code nationally.

Median

$88.67

Average

$107.67

Std Dev

$96.81

Max

$236.91

Percentile Distribution (Cost per Claim)

p10
$27.79
p25
$44.79
Median
$88.67
p75
$151.56
p90
$202.77
p95
$219.84
p99
$233.49

50% of providers bill between $44.79 and $151.56 per claim for this code.

90% bill between $27.79 and $202.77.

Top 1% bill above $233.49.

About This Procedure

HCPCS code G0509 was billed by 5 providers across 185 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 101 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$88.67

Providers Billing

4

National Spending

$13K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0509

#ProviderTotal Paid
11366519027$7K
21063961027$3K
31295098747$1K
41275576522$976
51013303080$0

Showing top 5 of 5 providers billing this code