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#1493 of 11K

G0506

Comprehensive assessment of chronic care management

Comprehensive assessment of chronic care management is the #1,493 most-billed Medicaid procedure code, with $21.3M in payments across 656K claims from 2018–2024. The national median cost per claim is $7.41. Costs vary widely — the 90th percentile is $39.97 per claim, 5.4× the median.

Total Paid

$21.3M

0.00% of all spending

Total Claims

656K

Providers

695

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for G0506? Based on 421 providers billing this code nationally.

Median

$7.41

Average

$25.10

Std Dev

$91.01

Max

$1,144.20

Percentile Distribution (Cost per Claim)

p10
$0.35
p25
$1.77
Median
$7.41
p75
$15.83
p90
$39.97
p95
$66.45
p99
$186.49

50% of providers bill between $1.77 and $15.83 per claim for this code.

90% bill between $0.35 and $39.97.

Top 1% bill above $186.49.

About This Procedure

HCPCS code G0506 (Comprehensive assessment of chronic care management) was billed by 695 providers across 656K claims, totaling $21.3M in Medicaid payments from 2018–2024. This code was used for 593K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.41

Providers Billing

421

National Spending

$21.3M

Avg/Median Ratio

3.39×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0506

#ProviderTotal Paid
11366807760$7.0M
2The Collaborative For Children And Families

New York, NY · Case Manager/Care Coordinator

$4.1M
3Chhuny Llc

Rochester, NY · Case Management

$4.1M
4Coordinated Behavioral Care Inc

New York, NY · Case Management

$1.6M
51245308626$599K
6North Shore University Hospital

New Hyde Park, NY · Case Management

$542K
7Sun River Health Inc.

Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC)

$439K
8Cnyhhn Inc

Utica, NY · Case Management

$348K
9Community Care Management Partners Llc (Ccmp)

New York, NY · Case Management

$345K
10Srh Chn Lead Health Home Llc

Peekskill, NY · Case Management

$342K
111316685605$282K
121689710154$165K
131811226749$142K
141740557735$105K
151922188606$99K
161760866586$94K
171386745578$67K
181104994649$63K
191407483175$54K
201811368368$53K

Showing top 20 of 695 providers billing this code