#350 of 11K

G9008

Coordination of long-term care services, per month

Coordination of long-term care services, per month is the #350 most-billed Medicaid procedure code, with $369.4M in payments across 5.0M claims from 2018–2024. The national median cost per claim is $66.78. Costs vary widely — the 90th percentile is $226.47 per claim, 3.4× the median.

Total Paid

$369.4M

0.03% of all spending

Total Claims

5.0M

Providers

825

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for G9008? Based on 629 providers billing this code nationally.

Median

$66.78

Average

$104.61

Std Dev

$112.20

Max

$642.58

Percentile Distribution (Cost per Claim)

p10

$2.46

p25

$28.92

Median

$66.78

p75

$168.48

p90

$226.47

p95

$349.85

p99

$552.27

50% of providers bill between $28.92 and $168.48 per claim for this code.

90% bill between $2.46 and $226.47.

Top 1% bill above $552.27.

About This Procedure

HCPCS code G9008 (Coordination of long-term care services, per month) was billed by 825 providers across 5.0M claims, totaling $369.4M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.78

Providers Billing

629

National Spending

$369.4M

Avg/Median Ratio

1.57×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G9008

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health	$95.1M	$187.80	2.8× median	Above 75th
2	1689726515	$23.0M	$55.07	0.8× median	Below Median
3	1588153126	$17.9M	$142.67	2.1× median	Above Median
4	Independent Living Systems Llc Miami, FL · Case Management	$17.0M	$151.09	2.3× median	Above Median
5	1639336803	$16.0M	$154.78	2.3× median	Above Median
6	1154624443	$14.4M	$245.52	3.7× median	Top 10%
7	1073951216	$14.2M	$193.74	2.9× median	Above 75th
8	1649423856	$11.1M	$234.54	3.5× median	Top 10%
9	1699122341	$8.5M	$127.22	1.9× median	Above Median
10	1376949503	$6.4M	$123.29	1.8× median	Above Median
11	City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator	$6.2M	$506.37	7.6× median	Top 10%
12	1053598979	$6.1M	$242.73	3.6× median	Top 10%
13	1861528648	$4.7M	$368.08	5.5× median	Top 10%
14	1649809526	$4.6M	$126.19	1.9× median	Above Median
15	1952328700	$4.3M	$175.13	2.6× median	Above 75th
16	1164974739	$4.3M	$72.38	1.1× median	Above Median
17	1841476553	$4.1M	$207.80	3.1× median	Above 75th
18	1043751035	$3.8M	$30.95	0.5× median	Below Median
19	1083971881	$3.4M	$76.30	1.1× median	Above Median
20	1366807760	$2.6M	$95.70	1.4× median	Above Median

Showing top 20 of 825 providers billing this code

Related Procedures

G9012Other specified case management service, per 15 minutes$2.25B G9005Coordinated care fee, risk-adjusted, ESRD$2.08B G9002Coordinated care fee, maintenance period$422.2M G9006Coordination of long-term care services, per hour$184.0M G9001$107.2M

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