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#2506 of 11K

0370T

HCPCS Procedure Code

HCPCS code 0370T is the #2,506 most-billed Medicaid procedure code, with $5.3M in payments across 54K claims from 2018–2024. The national median cost per claim is $88.49.

Total Paid

$5.3M

0.00% of all spending

Total Claims

54K

Providers

109

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for 0370T? Based on 109 providers billing this code nationally.

Median

$88.49

Average

$91.98

Std Dev

$32.91

Max

$246.43

Percentile Distribution (Cost per Claim)

p10
$53.87
p25
$65.00
Median
$88.49
p75
$116.99
p90
$120.00
p95
$135.71
p99
$169.46

50% of providers bill between $65.00 and $116.99 per claim for this code.

90% bill between $53.87 and $120.00.

Top 1% bill above $169.46.

About This Procedure

HCPCS code 0370T was billed by 109 providers across 54K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$88.49

Providers Billing

109

National Spending

$5.3M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0370T

#ProviderTotal Paid
1Centria Healthcare Llc

Farmington Hills, MI · Home Health

$1.2M
21609135748$379K
3Gateway Pediatric Therapy Llc

Bingham Farms, MI · Behavior Analyst

$204K
41598007171$182K
51801289020$154K
61730247016$128K
71629322540$123K
81891917449$115K
91023454451$109K
101528145844$108K
111740670454$107K
121265493928$106K
131912041096$88K
141215383625$86K
15Macomb Oakland Regional Center Inc.

Auburn Hills, MI · Community/Behavioral Health

$83K
161518366285$77K
171063478287$75K
181215326517$74K
191194163899$71K
20Residential Options Inc.

Lansing, MI · Behavior Analyst

$67K

Showing top 20 of 109 providers billing this code