#1418 of 11K

G2078

HCPCS Procedure Code

HCPCS code G2078 is the #1,418 most-billed Medicaid procedure code, with $23.8M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $27.04.

Total Paid

$23.8M

0.00% of all spending

Total Claims

3.3M

Providers

327

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G2078? Based on 276 providers billing this code nationally.

Median

$27.04

Average

$28.71

Std Dev

$34.04

Max

$216.38

Percentile Distribution (Cost per Claim)

p10

$0.09

p25

$4.46

Median

$27.04

p75

$37.11

p90

$49.79

p95

$62.87

p99

$199.42

50% of providers bill between $4.46 and $37.11 per claim for this code.

90% bill between $0.09 and $49.79.

Top 1% bill above $199.42.

About This Procedure

HCPCS code G2078 was billed by 327 providers across 3.3M claims, totaling $23.8M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.04

Providers Billing

276

National Spending

$23.8M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2078

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Habit Opco, Llc Springfield, MA · Case Management	$3.9M	$21.50	0.8× median	Below Median
2	1912155516	$1.9M	$35.27	1.3× median	Above Median
3	Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit	$1.2M	$45.65	1.7× median	Above 75th
4	1467507293	$1.2M	$31.77	1.2× median	Above Median
5	Community Health Care, Inc. Westfield, MA · Counselor, Addiction (Substance Use Disorder)	$796K	$31.48	1.2× median	Above Median
6	Spectrum Health Systems, Inc Worcester, MA · Clinic/Center, Rehabilitation, Substance Use Disorder	$627K	$32.13	1.2× median	Above Median
7	1891142154	$546K	$32.23	1.2× median	Above Median
8	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$545K	$32.49	1.2× median	Above Median
9	Behavioral Health Network Inc Springfield, MA · Clinic/Center Methadone Clinic	$523K	$20.73	0.8× median	Below Median
10	1093972838	$446K	$26.45	1.0× median	Below Median
11	1215098348	$396K	$50.96	1.9× median	Top 10%
12	1649856618	$382K	$29.31	1.1× median	Above Median
13	1598274300	$357K	$32.29	1.2× median	Above Median
14	1386888279	$345K	$38.22	1.4× median	Above 75th
15	1275851917	$343K	$49.43	1.8× median	Above 75th
16	1689627598	$294K	$32.64	1.2× median	Above Median
17	1376712786	$284K	$55.71	2.1× median	Top 10%
18	1851452338	$283K	$60.58	2.2× median	Top 10%
19	Behavioral Health Network Inc Springfield, MA · Clinic/Center Mental Health (Including Community Mental Health Center)	$278K	$29.70	1.1× median	Above Median
20	1477605228	$265K	$27.84	1.0× median	Above Median

Showing top 20 of 327 providers billing this code

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