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#323 of 11K

G9002

Coordinated care fee, maintenance period

Coordinated care fee, maintenance period is the #323 most-billed Medicaid procedure code, with $422.2M in payments across 4.5M claims from 2018–2024. The national median cost per claim is $108.80.

Total Paid

$422.2M

0.04% of all spending

Total Claims

4.5M

Providers

593

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for G9002? Based on 510 providers billing this code nationally.

Median

$108.80

Average

$112.18

Std Dev

$117.84

Max

$1,666.67

Percentile Distribution (Cost per Claim)

p10
$0.32
p25
$25.02
Median
$108.80
p75
$145.90
p90
$214.67
p95
$319.43
p99
$320.00

50% of providers bill between $25.02 and $145.90 per claim for this code.

90% bill between $0.32 and $214.67.

Top 1% bill above $320.00.

About This Procedure

HCPCS code G9002 (Coordinated care fee, maintenance period) was billed by 593 providers across 4.5M claims, totaling $422.2M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$108.80

Providers Billing

510

National Spending

$422.2M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9002

#ProviderTotal Paid
11689726515$16.3M
21013967314$15.5M
31245278209$13.7M
41003979543$12.7M
5Health Connect America Inc

Franklin, TN · Community/Behavioral Health

$11.8M
61578595971$11.7M
71316235427$9.8M
81538393780$9.5M
91871729616$9.1M
10Centerstone Of Tennessee Inc.

Nashville, TN · Clinic/Center Mental Health (Including Community Mental Health Center)

$8.8M
111891887097$8.6M
121114118973$8.3M
131891120556$8.2M
141982074167$7.8M
151720263114$7.6M
161760699144$6.7M
171861612327$6.5M
181134128820$5.8M
191184831323$5.8M
201710194063$5.4M

Showing top 20 of 593 providers billing this code