How much does Medicare pay for HCPCS G0182?

Medicare allowed an average of $97.91 per service and paid $74.84 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $171.08, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does G0182 pay differently in an office than a hospital?

Yes. The allowed amount averaged $97.86 in an office setting and $108.30 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills G0182 most?

Nurse Practitioner, with 8,825 services from 86 clinicians. Next are Internal Medicine, Family Practice, General Practice.

HCPCS G0182

Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien

$97.91Medicare-allowed amount per service, averaged across 23,077 services

Providers submitted

$171.08

Asking price, not received

Medicare allowed

$97.91

The fee schedule figure

Medicare paid

$74.84

Balance is patient coinsurance

Providers submitted an average of $171.08 for this code and Medicare allowed $97.91 — 1.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $74.84 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $97.86
Hospital / facility: $108.30

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 22,976 services were billed in an office setting and 101 in a facility.

Services: 23,077
Beneficiaries: 8,050
Providers billing it: 210
Total allowed: $2,259,469

What Medicare pays for HCPCS G0182

Across 23,077 services billed by 210 providers to 8,050 beneficiaries, Medicare allowed an average of $97.91 per service. That is 2.9 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills G0182

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	8,825	2,800	$86.07	86
Internal Medicine	6,326	2,581	$104.14	67
Family Practice	3,162	1,285	$105.54	33
General Practice	2,514	610	$114.02	3
Physician Assistant	979	302	$86.05	9
Emergency Medicine	899	281	$107.24	4
Geriatric Medicine	273	130	$110.37	5
Hospice and Palliative Care	66	29	$103.14	2
Infectious Disease	33	32	$95.52	1

G0182 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	7,379	$107.30	$76.56	20
Texas	2,854	$89.07	$70.09	21
Pennsylvania	1,688	$88.61	$70.33	21
Florida	1,308	$91.66	$69.02	12
New Jersey	1,255	$103.33	$75.23	15
Arizona	1,232	$86.49	$66.05	13
Illinois	866	$106.82	$79.91	10
Ohio	774	$90.00	$70.58	14
Massachusetts	681	$107.01	$77.53	5
Georgia	565	$101.50	$80.67	5
Indiana	531	$89.55	$71.26	8
Wisconsin	480	$98.35	$80.41	2
Utah	428	$88.63	$66.20	6
Connecticut	386	$107.80	$79.83	3
Washington	375	$92.38	$63.13	6
Michigan	367	$100.21	$76.46	6
Kansas	338	$86.92	$68.64	4
Tennessee	240	$86.70	$65.28	3
Missouri	214	$86.44	$69.35	6
South Carolina	182	$83.36	$68.58	2
North Carolina	147	$86.57	$66.99	5
Maryland	141	$82.53	$66.23	3
New York	124	$94.98	$62.54	3
New Hampshire	117	$103.38	$77.33	3
Oregon	115	$89.95	$65.82	2
Oklahoma	85	$90.49	$62.30	2
Virginia	72	$92.62	$74.79	3
Delaware	48	$86.13	$54.38	2
Montana	25	$101.96	$75.02	1
Rhode Island	20	$104.78	$81.48	1
Colorado	15	$104.36	$81.50	1
Louisiana	13	$98.36	$75.79	1
Minnesota	12	$101.30	$74.99	1

Related codes

G0103Prostate cancer screening; prostate specific antigen test (psa)$18.89
G0127Trimming of dystrophic nails$17.81
G0180Physician or allowed practitioner certification for medicare-covered h$52.34
G0101Cervical or vaginal cancer screening; pelvic and clinical breast exami$37.86
G0181Physician or allowed practitioner supervision of a patient receiving m$103.01
G0179Physician or allowed practitioner re-certification for medicare-covere$40.20
G0105Colorectal cancer screening; colonoscopy on individual at high risk$287.76
G0145Screening cytopathology$25.95
G0121Colorectal cancer screening; colonoscopy on individual not meeting cri$295.44
G0136Administration of a standardized$16.63
G0108Diabetes outpatient self-management training services$53.63
G0123Screening cytopathology$19.83

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.