How much does Medicare pay for HCPCS G0508?

Medicare allowed an average of $205.18 per service and paid $160.53 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $574.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does G0508 pay differently in an office than a hospital?

Yes. The allowed amount averaged $206.90 in an office setting and $202.31 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 G0508 most?

Neurology, with 7,715 services from 195 clinicians. Next are Critical Care (Intensivists), Internal Medicine, Pulmonary Disease.

HCPCS G0508

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth

$205.18Medicare-allowed amount per service, averaged across 13,289 services

Providers submitted

$574.79

Asking price, not received

Medicare allowed

$205.18

The fee schedule figure

Medicare paid

$160.53

Balance is patient coinsurance

Providers submitted an average of $574.79 for this code and Medicare allowed $205.18 — 2.8× 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 $160.53 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $206.90
Hospital / facility: $202.31

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. 8,316 services were billed in an office setting and 4,973 in a facility.

Services: 13,289
Beneficiaries: 13,132
Providers billing it: 297
Total allowed: $2,726,637

What Medicare pays for HCPCS G0508

Across 13,289 services billed by 297 providers to 13,132 beneficiaries, Medicare allowed an average of $205.18 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 G0508

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	7,715	7,653	$203.00	195
Critical Care (Intensivists)	3,119	3,081	$210.91	45
Internal Medicine	1,251	1,232	$208.65	23
Pulmonary Disease	669	642	$197.03	17
Emergency Medicine	237	233	$216.77	3
Hospitalist	72	71	$198.50	3
Infectious Disease	68	65	$213.53	3
Nephrology	59	59	$194.83	1
Nurse Practitioner	52	52	$164.65	4
Anesthesiology	36	33	$208.41	2
Sleep Medicine	11	11	$190.59	1

G0508 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
Florida	4,492	$202.64	$158.29	80
New York	1,509	$222.81	$152.77	20
Texas	1,242	$197.93	$156.55	29
Massachusetts	767	$210.84	$156.93	16
California	735	$206.16	$152.08	20
Virginia	662	$206.54	$154.26	11
Pennsylvania	492	$204.29	$158.76	10
Maryland	361	$209.49	$158.95	5
Hawaii	310	$199.93	$154.08	10
Tennessee	302	$191.57	$157.37	13
Washington	243	$209.89	$156.10	10
North Carolina	242	$197.01	$156.07	8
Georgia	199	$206.23	$157.33	4
New Jersey	183	$211.24	$158.71	7
Colorado	164	$216.70	$150.93	4
Ohio	157	$199.22	$154.96	7
Louisiana	151	$194.36	$155.54	5
Oregon	148	$204.83	$157.34	9
Michigan	146	$196.31	$157.53	2
Minnesota	141	$188.20	$146.79	5
Kansas	135	$188.82	$157.60	1
Arizona	128	$197.40	$157.96	3
Nevada	76	$200.00	$153.31	4
Illinois	71	$215.96	$156.88	2
Missouri	44	$194.89	$159.03	2
South Carolina	34	$212.30	$159.26	1
Arkansas	25	$192.69	$159.20	1
Connecticut	24	$209.46	$158.19	1
West Virginia	21	$186.17	$159.59	1
Alabama	18	$234.68	$159.13	1
Wisconsin	16	$192.12	$136.84	1
Delaware	15	$205.70	$147.00	1
District of Columbia	13	$220.72	$159.51	1
Kentucky	12	$167.92	$114.28	1
Oklahoma	11	$201.71	$159.71	1

Related codes

G0500Moderate sedation services provided by the same physician or other qua$7.46
G0506Comprehensive assessment of and care planning for patients requiring c$54.10
G0513Prolonged preventive service(s) (beyond the typical service time of th$61.53
G0523Management of a new patient$395.12
G0509Telehealth consultation$186.15
G0522Management of a new patient$235.00
G0520Management of new patient-caregiver dyad$274.70
G0514Prolonged preventive service(s) (beyond the typical service time of th$61.07
G0519Management of new patient-caregiver dyad$148.71

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.