G0470
Chronic care management services, FQHC/RHC
Chronic care management services, FQHC/RHC is the #448 most-billed Medicaid procedure code, with $218.9M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $45.95. Costs vary widely — the 90th percentile is $149.03 per claim, 3.2× the median.
Total Paid
$218.9M
0.02% of all spending
Total Claims
2.8M
Providers
941
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for G0470? Based on 816 providers billing this code nationally.
Median
$45.95
Average
$66.84
Std Dev
$80.99
Max
$629.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.78 and $73.80 per claim for this code.
90% bill between $5.61 and $149.03.
Top 1% bill above $466.51.
About This Procedure
HCPCS code G0470 (Chronic care management services, FQHC/RHC) was billed by 941 providers across 2.8M claims, totaling $218.9M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.95
Providers Billing
816
National Spending
$218.9M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0470
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $12.5M |
| 2 | 1578680310 | $9.9M |
| 3 | 1477721058 | $7.0M |
| 4 | 1396054169 | $6.7M |
| 5 | 1952307530 | $6.5M |
| 6 | 1811065576 | $5.5M |
| 7 | 1598202913 | $5.1M |
| 8 | 1124052816 | $4.6M |
| 9 | 1689693343 | $4.1M |
| 10 | 1376040881 | $3.9M |
| 11 | 1790869436 | $3.8M |
| 12 | 1033157771 | $3.6M |
| 13 | 1669530986 | $3.6M |
| 14 | 1518945278 | $3.5M |
| 15 | 1497833271 | $3.4M |
| 16 | 1821193145 | $3.2M |
| 17 | 1073711057 | $3.1M |
| 18 | 1891953048 | $2.9M |
| 19 | 1326055450 | $2.7M |
| 20 | 1497148407 | $2.6M |
Showing top 20 of 941 providers billing this code