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#8351 of 11K

G1028

HCPCS Procedure Code

HCPCS code G1028 is the #8,351 most-billed Medicaid procedure code, with $4K in payments across 172 claims from 2018–2024. The national median cost per claim is $37.89. Costs vary widely — the 90th percentile is $94.03 per claim, 2.5× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

172

Providers

6

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for G1028? Based on 3 providers billing this code nationally.

Median

$37.89

Average

$49.87

Std Dev

$53.22

Max

$108.06

Percentile Distribution (Cost per Claim)

p10
$10.50
p25
$20.77
Median
$37.89
p75
$72.97
p90
$94.03
p95
$101.04
p99
$106.66

50% of providers bill between $20.77 and $72.97 per claim for this code.

90% bill between $10.50 and $94.03.

Top 1% bill above $106.66.

About This Procedure

HCPCS code G1028 was billed by 6 providers across 172 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 153 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.89

Providers Billing

3

National Spending

$4K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G1028

#ProviderTotal Paid
11609502350$2K
21427680057$2K
31295280451$102
41710498001$0
51154722361$0
61316604515$0

Showing top 6 of 6 providers billing this code

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