G0467
Federally qualified health center visit, mental health
Federally qualified health center visit, mental health is the #191 most-billed Medicaid procedure code, with $909.0M in payments across 19.7M claims from 2018–2024. The national median cost per claim is $21.91. Costs vary widely — the 90th percentile is $69.40 per claim, 3.2× the median.
Total Paid
$909.0M
0.08% of all spending
Total Claims
19.7M
Providers
5K
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for G0467? Based on 4K providers billing this code nationally.
Median
$21.91
Average
$35.30
Std Dev
$55.80
Max
$549.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.37 and $34.24 per claim for this code.
90% bill between $1.31 and $69.40.
Top 1% bill above $335.34.
About This Procedure
HCPCS code G0467 (Federally qualified health center visit, mental health) was billed by 5K providers across 19.7M claims, totaling $909.0M in Medicaid payments from 2018–2024. This code was used for 15.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.91
Providers Billing
4K
National Spending
$909.0M
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0467
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669479929 | $30.5M |
| 2 | 1811065576 | $25.1M |
| 3 | 1780784439 | $20.4M |
| 4 | 1518945278 | $20.2M |
| 5 | Unity Health Care Inc. Washington, DC · Clinic/Center Federally Qualified Health Center (FQHC) | $16.0M |
| 6 | Lake County Tribal Health Consortium Inc. Lakeport, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $13.7M |
| 7 | 1669530986 | $11.8M |
| 8 | 1326055450 | $11.0M |
| 9 | 1477721058 | $10.9M |
| 10 | 1043373244 | $10.6M |
| 11 | 1023560331 | $9.6M |
| 12 | 1255331583 | $8.2M |
| 13 | Greenville Rancheria Red Bluff, CA · Clinic/Center Community Health | $8.1M |
| 14 | Chapa-de Indian Health Program Inc. Auburn, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $8.1M |
| 15 | 1629066238 | $8.1M |
| 16 | 1982614103 | $7.8M |
| 17 | 1780702571 | $6.3M |
| 18 | 1720152275 | $5.9M |
| 19 | 1205004884 | $5.8M |
| 20 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $5.5M |
Showing top 20 of 5K providers billing this code