G1004
HCPCS Procedure Code
HCPCS code G1004 is the #3,376 most-billed Medicaid procedure code, with $1.8M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $1.67 per claim, 167.0× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
3.4M
Providers
1,432
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for G1004? Based on 454 providers billing this code nationally.
Median
$0.01
Average
$1.83
Std Dev
$10.99
Max
$165.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.23 per claim for this code.
90% bill between $0.00 and $1.67.
Top 1% bill above $42.18.
About This Procedure
HCPCS code G1004 was billed by 1,432 providers across 3.4M claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
454
National Spending
$1.8M
Avg/Median Ratio
183.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G1004
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $505K |
| 2 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $475K |
| 3 | 1629006457 | $86K |
| 4 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $61K |
| 5 | 1457346413 | $58K |
| 6 | 1407887003 | $57K |
| 7 | 1649220724 | $46K |
| 8 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $45K |
| 9 | 1699874248 | $35K |
| 10 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $33K |
| 11 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $31K |
| 12 | 1679660617 | $29K |
| 13 | 1578527172 | $25K |
| 14 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $23K |
| 15 | 1821186313 | $20K |
| 16 | 1699286401 | $19K |
| 17 | 1760446256 | $14K |
| 18 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $14K |
| 19 | 1235196510 | $10K |
| 20 | 1780653618 | $10K |
Showing top 20 of 1,432 providers billing this code