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#1135 of 11K

G0749

HCPCS Procedure Code

HCPCS code G0749 is the #1,135 most-billed Medicaid procedure code, with $38.3M in payments across 209K claims from 2018–2024. The national median cost per claim is $219.77. Costs vary widely — the 90th percentile is $484.54 per claim, 2.2× the median.

Total Paid

$38.3M

0.00% of all spending

Total Claims

209K

Providers

17

Avg Cost/Claim

$184

National Cost Distribution

How much do providers bill per claim for G0749? Based on 17 providers billing this code nationally.

Median

$219.77

Average

$255.42

Std Dev

$162.12

Max

$530.66

Percentile Distribution (Cost per Claim)

p10
$79.42
p25
$105.15
Median
$219.77
p75
$396.53
p90
$484.54
p95
$496.98
p99
$523.92

50% of providers bill between $105.15 and $396.53 per claim for this code.

90% bill between $79.42 and $484.54.

Top 1% bill above $523.92.

About This Procedure

HCPCS code G0749 was billed by 17 providers across 209K claims, totaling $38.3M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$219.77

Providers Billing

17

National Spending

$38.3M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0749

#ProviderTotal Paid
1Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$13.9M
2In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$5.4M
3Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$3.6M
4Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$3.4M
51457537532$2.2M
6Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$1.9M
71295876829$1.6M
81033349394$1.6M
91902074446$1.4M
101235273582$1.1M
111932486925$891K
121770883548$738K
131851547681$331K
141669659140$89K
151124158175$42K
161871658211$29K
171730395914$23K

Showing top 17 of 17 providers billing this code

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