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#1358 of 11K

G0648

HCPCS Procedure Code

HCPCS code G0648 is the #1,358 most-billed Medicaid procedure code, with $25.7M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $13.92. Costs vary widely — the 90th percentile is $84.04 per claim, 6.0× the median.

Total Paid

$25.7M

0.00% of all spending

Total Claims

1.8M

Providers

35

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for G0648? Based on 35 providers billing this code nationally.

Median

$13.92

Average

$31.35

Std Dev

$32.14

Max

$113.79

Percentile Distribution (Cost per Claim)

p10
$10.06
p25
$11.31
Median
$13.92
p75
$37.92
p90
$84.04
p95
$108.00
p99
$112.80

50% of providers bill between $11.31 and $37.92 per claim for this code.

90% bill between $10.06 and $84.04.

Top 1% bill above $112.80.

About This Procedure

HCPCS code G0648 was billed by 35 providers across 1.8M claims, totaling $25.7M in Medicaid payments from 2018–2024. This code was used for 278K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.92

Providers Billing

35

National Spending

$25.7M

Avg/Median Ratio

2.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0648

#ProviderTotal Paid
1Disability Services Of The Southwest, Inc

San Antonio, TX · Day Training, Developmentally Disabled Services

$8.7M
2Caregivers Home Health Tx Inc

Richardson, TX · Nursing Care

$7.7M
3Astrocare Class, Inc.

Houston, TX · Home Health

$2.6M
41366522096$650K
51568591725$626K
61346579265$488K
71336454461$450K
81710353131$442K
9First Primary Home Care, Inc

Harlingen, TX · Hospice Care, Community Based

$431K
101417250879$369K
111093172520$365K
121295876829$312K
131689821860$280K
141306023429$274K
151396862975$251K
161255518379$240K
171518144633$214K
181538127022$199K
191285705442$177K
201083866321$151K

Showing top 20 of 35 providers billing this code