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#8098 of 11K

G1007

HCPCS Procedure Code

HCPCS code G1007 is the #8,098 most-billed Medicaid procedure code, with $6K in payments across 676 claims from 2018–2024. The national median cost per claim is $1.55. Costs vary widely — the 90th percentile is $155.56 per claim, 100.4× the median.

Total Paid

$6K

0.00% of all spending

Total Claims

676

Providers

10

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for G1007? Based on 3 providers billing this code nationally.

Median

$1.55

Average

$65.21

Std Dev

$111.60

Max

$194.06

Percentile Distribution (Cost per Claim)

p10
$0.31
p25
$0.78
Median
$1.55
p75
$97.81
p90
$155.56
p95
$174.81
p99
$190.21

50% of providers bill between $0.78 and $97.81 per claim for this code.

90% bill between $0.31 and $155.56.

Top 1% bill above $190.21.

About This Procedure

HCPCS code G1007 was billed by 10 providers across 676 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 622 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.55

Providers Billing

3

National Spending

$6K

Avg/Median Ratio

42.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G1007

#ProviderTotal Paid
11255473179$6K
21952311243$25
31255654117$0
41831110667$0
51811944101$0
61598770471$0
71336228832$0
81134419914$0
91437179710$0
101639194921$0

Showing top 10 of 10 providers billing this code