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#1187 of 11K

G0511

RHC/FQHC visit, psychiatric collaborative care model

RHC/FQHC visit, psychiatric collaborative care model is the #1,187 most-billed Medicaid procedure code, with $34.5M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $11.35. Costs vary widely — the 90th percentile is $29.85 per claim, 2.6× the median.

Total Paid

$34.5M

0.00% of all spending

Total Claims

1.7M

Providers

1K

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for G0511? Based on 1K providers billing this code nationally.

Median

$11.35

Average

$16.46

Std Dev

$24.53

Max

$260.98

Percentile Distribution (Cost per Claim)

p10
$1.41
p25
$5.85
Median
$11.35
p75
$15.56
p90
$29.85
p95
$64.84
p99
$123.91

50% of providers bill between $5.85 and $15.56 per claim for this code.

90% bill between $1.41 and $29.85.

Top 1% bill above $123.91.

About This Procedure

HCPCS code G0511 (RHC/FQHC visit, psychiatric collaborative care model) was billed by 1K providers across 1.7M claims, totaling $34.5M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.35

Providers Billing

1K

National Spending

$34.5M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0511

#ProviderTotal Paid
11154342335$4.8M
2Cornell Scott Hill Health Corporation

New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry

$3.8M
31346228905$2.6M
41669445946$1.5M
51699703686$1.2M
61609275205$907K
71841226347$889K
81376949503$744K
91184186496$672K
101851328199$632K
111720177066$527K
121659476356$466K
131215923131$384K
141841200664$374K
151457304966$356K
161285686477$338K
171164055927$337K
181992750855$304K
191780918045$260K
201750304846$251K

Showing top 20 of 1K providers billing this code