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#7494 of 11K

G1011

HCPCS Procedure Code

HCPCS code G1011 is the #7,494 most-billed Medicaid procedure code, with $16K in payments across 6,165 claims from 2018–2024. The national median cost per claim is $0.28. Costs vary widely — the 90th percentile is $59.33 per claim, 211.9× the median.

Total Paid

$16K

0.00% of all spending

Total Claims

6,165

Providers

17

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for G1011? Based on 5 providers billing this code nationally.

Median

$0.28

Average

$22.87

Std Dev

$32.22

Max

$68.69

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.10
Median
$0.28
p75
$45.27
p90
$59.33
p95
$64.01
p99
$67.76

50% of providers bill between $0.10 and $45.27 per claim for this code.

90% bill between $0.04 and $59.33.

Top 1% bill above $67.76.

About This Procedure

HCPCS code G1011 was billed by 17 providers across 6,165 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 4,915 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.28

Providers Billing

5

National Spending

$16K

Avg/Median Ratio

81.68×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G1011

#ProviderTotal Paid
1Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$15K
2The Miriam Hospital

Providence, RI · General Acute Care Hospital

$951
31689783185$519
41144228446$24
51295736015$0
61275979825$0
71053345652$0
81518913607$0
91518952761$0
101205882396$0
111598708513$0
121770693939$0
131295728491$0
141619914785$0
151679677983$0
161083697718$0
171720017528$0

Showing top 17 of 17 providers billing this code