How much does Medicare pay for HCPCS G0372?

Medicare allowed an average of $7.68 per service and paid $5.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $43.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code G0372?

Physician service required to establish and document the need for a power mobility device. It was billed 2,104 times to 2,100 Medicare beneficiaries by 31 providers in 2024.

Does G0372 pay differently in an office than a hospital?

Yes. The allowed amount averaged $7.69 in an office setting and $7.39 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 G0372 most?

Physician Assistant, with 722 services from 5 clinicians. Next are Nurse Practitioner, Physical Medicine and Rehabilitation, General Practice.

HCPCS G0372

Physician service required to establish and document the need for a power mobility device

$7.68Medicare-allowed amount per service, averaged across 2,104 services

Providers submitted

$43.56

Asking price, not received

Medicare allowed

$7.68

The fee schedule figure

Medicare paid

$5.95

Balance is patient coinsurance

Providers submitted an average of $43.56 for this code and Medicare allowed $7.68 — 5.7× 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 $5.95 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $7.69
Hospital / facility: $7.39

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,023 services were billed in an office setting and 81 in a facility.

Services: 2,104
Beneficiaries: 2,100
Providers billing it: 31
Total allowed: $16,159

What Medicare pays for HCPCS G0372

Across 2,104 services billed by 31 providers to 2,100 beneficiaries, Medicare allowed an average of $7.68 per service. 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 G0372

Specialty	Services	Beneficiaries	Avg allowed	Providers
Physician Assistant	722	722	$7.25	5
Nurse Practitioner	587	586	$7.08	7
Physical Medicine and Rehabilitation	519	517	$8.48	14
General Practice	181	181	$8.42	1
Internal Medicine	55	54	$8.85	3
Neurology	40	40	$9.02	1

G0372 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
Nevada	986	$7.19	$5.64	6
Texas	209	$8.43	$6.69	2
Ohio	146	$8.48	$6.36	1
Missouri	143	$8.05	$6.03	2
California	115	$8.94	$6.41	5
Florida	109	$7.37	$5.86	2
New York	89	$8.20	$5.89	4
Oklahoma	84	$8.40	$6.74	1
Alabama	83	$6.47	$5.22	2
New Jersey	45	$7.69	$5.77	1
Maine	30	$8.41	$6.32	1
Pennsylvania	21	$8.31	$5.85	1
Indiana	16	$7.62	$6.87	1
Washington	15	$8.56	$6.76	1
Minnesota	13	$7.08	$5.32	1

Related codes

G0316Prolonged hospital inpatient or observation care evaluation and manage$28.58
G0328Colorectal cancer screening; fecal occult blood test$17.64
G0318Prolonged home or residence evaluation and management service(s) beyon$27.69
G0317Prolonged nursing facility evaluation and management service(s) beyond$27.01
G0399Home sleep test (hst)$67.71
G0396Alcohol and/or substance (other than tobacco) misuse structured assess$32.81
G0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) a$7.60
G0307Complete (cbc)$6.33
G0340Image-guided robotic linear accelerator-based stereotactic radiosurger$2145.82
G0323Care management services for behavioral health conditions$43.42
G0398Home sleep study test (hst)$127.41
G0339Image-guided robotic linear accelerator-based stereotactic radiosurger$2840.40

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.