Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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G2064

Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities

Medicaid paid $29K on code G2064 from 2018 through 2024, to 17 providers — the #7,083 code in the file by dollars. 29% of it was billed in Michigan.

28Total paid$29K
24GClaims4,971
Paid per claim line$5.83
33Providers billing it17
Box 32 · Location

Where G2064 is billed

  1. $8.5K
  2. $6.4K
  3. $3.5K
  4. $2.7K
  5. $2.5K
  6. $2.4K
  7. $1.2K
  8. $974
  9. $640
  10. $207
  11. $49
  12. $0

The largest of 12 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 G2064

#ProviderLocationClaimsPaid on G2064
1 Martinez, Kenneth Aliso Viejo, CA 319 $6K
2 Senior Visits, LLC Royal Oak, MI 1,041 $5K
3 Pulmonary Clinics of Southern Michigan Jackson, MI 84 $4K
4 Ponderosa Heart House Call Gilbert, AZ 323 $3K
5 Hope Medical Care Snow Hill, NC 1,368 $2K
6 Urology Care of NJ Edison, NJ 443 $2K
7 Gandelman Cardiology, PC Greenwich, CT 170 $2K
8 The Carle Center for Pain Management,llc Towson, MD 39 $1K
9 Vital Healthcare Solutions Sinking Springs, PA 58 $973.62
10 Mobile Care Solutions PC Greenwich, CT 327 $353.58
11 Neurological Associates of North Texas Dallas, TX 142 $289.04
12 Texas Gastroenterology Institute, PA Mcallen, TX 43 $265.00
13 Steven Baak, MD LLC Bridgeton, MO 23 $206.64
14 Nextgen RPM Plainview, TX 394 $85.54
15 Cooney, Edward Hartford, WI 58 $48.79
16 Cardiac Institute of Central California a Medical Corporation Fresno, CA 113 $0.00
17 Foundation for Sickle Cell Disease Research Hollywood, FL 26 $0.00