0367T
HCPCS Procedure Code
HCPCS code 0367T is the #4,799 most-billed Medicaid procedure code, with $396K in payments across 6,021 claims from 2018–2024. The national median cost per claim is $50.31.
Total Paid
$396K
0.00% of all spending
Total Claims
6,021
Providers
10
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 0367T? Based on 10 providers billing this code nationally.
Median
$50.31
Average
$51.69
Std Dev
$40.31
Max
$118.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.55 and $85.97 per claim for this code.
90% bill between $7.80 and $95.91.
Top 1% bill above $116.19.
About This Procedure
HCPCS code 0367T was billed by 10 providers across 6,021 claims, totaling $396K in Medicaid payments from 2018–2024. This code was used for 893 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.31
Providers Billing
10
National Spending
$396K
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0367T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790114593 | $157K |
| 2 | 1346273091 | $144K |
| 3 | Residential Opportunities Inc. Kalamazoo, MI · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $36K |
| 4 | Genesee Health System Flint, MI · Community/Behavioral Health | $30K |
| 5 | Northeast Michigan Community Mental Health Authority Alpena, MI · Community/Behavioral Health | $11K |
| 6 | 1851811525 | $7K |
| 7 | 1801909239 | $6K |
| 8 | 1598007171 | $3K |
| 9 | 1699966341 | $2K |
| 10 | 1447521455 | $738 |
Showing top 10 of 10 providers billing this code