#497 of 11K

G9006

Coordination of long-term care services, per hour

Coordination of long-term care services, per hour is the #497 most-billed Medicaid procedure code, with $184.0M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $204.93.

Total Paid

$184.0M

0.02% of all spending

Total Claims

2.2M

Providers

219

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for G9006? Based on 123 providers billing this code nationally.

Median

$204.93

Average

$211.13

Std Dev

$496.06

Max

$5,503.11

Percentile Distribution (Cost per Claim)

p10

$5.24

p25

$129.47

Median

$204.93

p75

$215.73

p90

$219.44

p95

$228.20

p99

$935.21

50% of providers bill between $129.47 and $215.73 per claim for this code.

90% bill between $5.24 and $219.44.

Top 1% bill above $935.21.

About This Procedure

HCPCS code G9006 (Coordination of long-term care services, per hour) was billed by 219 providers across 2.2M claims, totaling $184.0M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$204.93

Providers Billing

123

National Spending

$184.0M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9006

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Ambercare Home Health Care Corporation Albuquerque, NM · Home Health	$27.1M	$185.31	0.9× median	Below Median
2	New Mexico Consumer Direct Personal Care Llc Albuquerque, NM · Home Health	$17.5M	$196.29	1.0× median	Below Median
3	1881658276	$9.2M	$5,503.11	26.9× median	Top 1%
4	Independent Living Resource Center Albuquerque, NM · Technician Personal Care Attendant	$6.5M	$153.80	0.8× median	Below Median
5	1588085633	$6.3M	$171.07	0.8× median	Below Median
6	Heritage Home Healthcare Services Inc. Albuquerque, NM · Home Health	$5.7M	$159.96	0.8× median	Below Median
7	At-home Personal Care Services Llc. Santa Teresa, NM · Home Health	$5.7M	$213.33	1.0× median	Above Median
8	Inteli-care Llc Albuquerque, NM · Home Health	$5.5M	$213.16	1.0× median	Above Median
9	1053443341	$5.3M	$216.49	1.1× median	Above 75th
10	1st Care Of New Mexico Llc Albuquerque, NM · In Home Supportive Care	$5.1M	$219.82	1.1× median	Top 10%
11	1619011889	$5.0M	$158.80	0.8× median	Below Median
12	Sage River Counseling Seattle, WA · Counselor Mental Health	$4.5M	$253.41	1.2× median	Top 10%
13	1770624348	$4.4M	$214.97	1.0× median	Above Median
14	El Mirador Incorporated Albuquerque, NM · Home Health	$4.4M	$215.39	1.1× median	Above Median
15	1740670942	$4.1M	$215.71	1.1× median	Above Median
16	1013272707	$4.0M	$214.90	1.0× median	Above Median
17	1780728261	$3.9M	$214.43	1.0× median	Above Median
18	1982814620	$3.4M	$213.49	1.0× median	Above Median
19	1568577914	$2.5M	$199.91	1.0× median	Below Median
20	1396189882	$2.4M	$211.08	1.0× median	Above Median

Showing top 20 of 219 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 G9008Coordination of long-term care services, per month$369.4M G9001$107.2M

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