0359T
HCPCS Procedure Code
HCPCS code 0359T is the #2,918 most-billed Medicaid procedure code, with $3.0M in payments across 7K claims from 2018–2024. The national median cost per claim is $444.44.
Total Paid
$3.0M
0.00% of all spending
Total Claims
7K
Providers
46
Avg Cost/Claim
$432
National Cost Distribution
How much do providers bill per claim for 0359T? Based on 46 providers billing this code nationally.
Median
$444.44
Average
$413.85
Std Dev
$180.40
Max
$877.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $279.98 and $480.00 per claim for this code.
90% bill between $163.65 and $590.14.
Top 1% bill above $852.48.
About This Procedure
HCPCS code 0359T was billed by 46 providers across 7K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$444.44
Providers Billing
46
National Spending
$3.0M
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0359T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Centria Healthcare Llc Farmington Hills, MI · Home Health | $1.2M |
| 2 | Gateway Pediatric Therapy Llc Bingham Farms, MI · Behavior Analyst | $305K |
| 3 | 1104119619 | $195K |
| 4 | 1073526968 | $168K |
| 5 | 1598007171 | $146K |
| 6 | 1609135748 | $116K |
| 7 | 1740670454 | $93K |
| 8 | 1962765693 | $89K |
| 9 | Residential Options Inc. Lansing, MI · Behavior Analyst | $86K |
| 10 | 1518366285 | $77K |
| 11 | 1770838468 | $59K |
| 12 | 1396750840 | $49K |
| 13 | 1851478622 | $43K |
| 14 | 1487034641 | $39K |
| 15 | 1467598730 | $33K |
| 16 | 1669448882 | $32K |
| 17 | 1912242918 | $29K |
| 18 | 1558841163 | $29K |
| 19 | 1063834539 | $28K |
| 20 | Yale University New Haven, CT · Internal Medicine | $27K |
Showing top 20 of 46 providers billing this code