Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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G0323

Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)

Medicaid paid $30K on code G0323 from 2018 through 2024, to 9 providers — the #7,048 code in the file by dollars. 39% of it was billed in New York.

28Total paid$30K
24GClaims5,159
Paid per claim line$5.82
33Providers billing it9
Box 32 · Location

Where G0323 is billed

  1. $12K
  2. $8.9K
  3. $4.2K
  4. $3.2K
  5. $2.1K
  6. $33
  7. $8
  8. $2

The largest of 8 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing G0323

#ProviderLocationClaimsPaid on G0323
1 Triangle Cognitive Therapy, LCSW, PLLC Rockville Centre, NY 255 $12K
2 Brittain & Associates INC Ore City, TX 959 $9K
3 Maria S. Flax, PH.D., Licensed Psychologist, INC. Temecula, CA 67 $4K
4 Imperial Health, LLP Lake Charles, LA 378 $3K
5 Travis J Ptacek MD PLLC Rapid City, SD 433 $2K
6 Diamond De Porras, Jill Temecula, CA 13 $594.75
7 Behavioral Health Solutions LLC Henderson, NV 2,286 $32.58
8 Midwest Post Acute Care PLLC Chicago, IL 717 $7.83
9 Harbor Youth and Family Counseling Tukwila, WA 51 $1.56