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#1834 of 11K

G9153

HCPCS Procedure Code

HCPCS code G9153 is the #1,834 most-billed Medicaid procedure code, with $13.1M in payments across 285K claims from 2018–2024. The national median cost per claim is $43.70.

Total Paid

$13.1M

0.00% of all spending

Total Claims

285K

Providers

152

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for G9153? Based on 126 providers billing this code nationally.

Median

$43.70

Average

$45.46

Std Dev

$20.54

Max

$179.71

Percentile Distribution (Cost per Claim)

p10
$25.60
p25
$32.25
Median
$43.70
p75
$54.96
p90
$69.96
p95
$74.37
p99
$75.00

50% of providers bill between $32.25 and $54.96 per claim for this code.

90% bill between $25.60 and $69.96.

Top 1% bill above $75.00.

About This Procedure

HCPCS code G9153 was billed by 152 providers across 285K claims, totaling $13.1M in Medicaid payments from 2018–2024. This code was used for 282K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.70

Providers Billing

126

National Spending

$13.1M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9153

#ProviderTotal Paid
1Prisma Health University Medical Group

Greenville, SC · Internal Medicine

$2.2M
21184016941$1.3M
31114196557$1.2M
41437168135$818K
51881763068$618K
61366403792$481K
71770700759$427K
81346249430$352K
91548849482$331K
101306805056$273K
111699831321$247K
121588614192$243K
131992749220$223K
141730121179$218K
151619949435$207K
161629169693$200K
171942515366$198K
181194496745$170K
191275993420$153K
201285667824$143K

Showing top 20 of 152 providers billing this code