Cost analysis for CPT G0181 — Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
Average Medicare Payment
$77.37
2023 data
Total Payments (2023)
$32.0M
Services (2023)
394.9K
Price Change (2014–2023)
-5.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $82.09 | $32.4M | 391.7K | — |
| 2015 | $81.98 | $32.6M | 395.3K | -0.1% |
| 2016 | $81.35 | $31.2M | 385.7K | -0.8% |
| 2017 | $80.99 | $30.4M | 376.8K | -0.4% |
| 2018 | $81.57 | $30.9M | 381.1K | +0.7% |
| 2019 | $82.77 | $33.7M | 408.7K | +1.5% |
| 2020 | $82.83 | $30.6M | 365.1K | +0.1% |
| 2021 | $81.22 | $30.9M | 372.4K | -1.9% |
| 2022 | $79.22 | $30.7M | 376.5K | -2.5% |
| 2023 | $77.37 | $32.0M | 394.9K | -2.3% |
The most expensive state pays 1.3x more than the cheapest for this procedure. CA averages $86.91 vs MS at $64.94.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $86.91 | $16.1M | 185.3K | 375 |
| NY | $86.83 | $415.5K | 4.8K | 59 |
| CT | $86.05 | $182.7K | 2.1K | 10 |
| NJ | $84.24 | $215.7K | 2.6K | 61 |
| IL | $83.70 | $3.5M | 41.5K | 173 |
| GA | $81.88 | $218.0K | 2.7K | 20 |
| WV | $79.87 | $9.4K | 118 | 3 |
| MA | $79.09 | $210.9K | 2.7K | 57 |
| MI | $78.31 | $349.6K | 4.5K | 65 |
| DE | $77.95 | $10.1K | 130 | 3 |
| NV | $77.47 | $1.4M | 18.6K | 58 |
| AR | $77.12 | $195.7K | 2.5K | 17 |
| NC | $76.18 | $43.8K | 575 | 9 |
| PA | $75.90 | $215.7K | 2.8K | 27 |
| OR | $75.57 | $17.8K | 235 | 5 |
| KS | $75.08 | $61.0K | 813 | 9 |
| KY | $74.69 | $12.9K | 173 | 6 |
| MD | $74.67 | $96.8K | 1.3K | 22 |
| WI | $74.29 | $11.7K | 157 | 7 |
| NM | $73.80 | $38.6K | 523 | 9 |
| FL | $73.48 | $1.5M | 20.9K | 206 |
| AL | $73.24 | $95.8K | 1.3K | 19 |
| LA | $72.61 | $227.4K | 3.1K | 41 |
| AZ | $72.53 | $600.7K | 8.3K | 73 |
| WA | $72.38 | $63.2K | 873 | 14 |
| TX | $72.26 | $4.7M | 65.0K | 374 |
| TN | $72.13 | $152.4K | 2.1K | 22 |
| VA | $71.93 | $61.4K | 853 | 19 |
| CO | $71.27 | $25.5K | 358 | 6 |
| IN | $70.09 | $278.5K | 4.0K | 39 |
| SC | $69.97 | $63.2K | 904 | 20 |
| OH | $69.96 | $162.0K | 2.3K | 39 |
| UT | $69.71 | $289.7K | 4.2K | 23 |
| MO | $69.30 | $19.1K | 275 | 5 |
| OK | $69.05 | $268.8K | 3.9K | 52 |
| MS | $64.94 | $131.0K | 2.0K | 30 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Maria Ortiz | Family Practice | CA | $1.1M | 12.5K | $85.94 |
| Maria Lourdes De Leon | Family Practice | CA | $995.2K | 11.2K | $88.74 |
| Daisy Bautista | Family Practice | CA | $838.6K | 9.4K | $88.79 |
| Hermilito Villar | General Practice | CA | $788.0K | 9.4K | $84.16 |
| Evelyn Basco | Preventive Medicine | IL | $772.0K | 8.7K | $88.55 |
| Linda Enriquez | Pathology | CA | $738.4K | 8.3K | $88.74 |
| Policarpoi Enriquez | Physical Medicine and Rehabilitation | CA | $604.9K | 6.8K | $88.73 |
| Catherine Noel-Uyloan | Family Practice | CA | $573.1K | 6.4K | $88.92 |
| Nicola Azar | Family Practice | CA | $566.3K | 6.5K | $86.81 |
| Mark Samonte | General Practice | CA | $478.3K | 5.4K | $88.33 |
| Daniel Radnia | General Practice | CA | $430.6K | 4.9K | $87.29 |
| Dan Azar | Preventive Medicine | CA | $416.7K | 4.8K | $87.72 |
| Daniel Linares | Family Practice | CA | $389.5K | 4.6K | $84.73 |
| Abdul Khan | Nephrology | CA | $379.4K | 4.4K | $86.97 |
| Paula Bailey-Walton | Internal Medicine | CA | $345.8K | 4.0K | $86.10 |
| Steven Groke | Emergency Medicine | CA | $321.2K | 3.6K | $88.02 |
| Rafael Penunuri | General Practice | CA | $281.8K | 3.2K | $87.05 |
| William Chua | Internal Medicine | CA | $274.1K | 3.1K | $87.72 |
| James Howard | Emergency Medicine | CA | $268.4K | 3.1K | $85.87 |
| Vincent Bennett | Emergency Medicine | CA | $251.6K | 2.9K | $86.89 |
Based on the data, CPT G0181 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 5.7% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.