M0360
HCPCS Procedure Code
HCPCS code M0360 is the #1,496 most-billed Medicaid procedure code, with $21.1M in payments across 252K claims from 2018–2024. The national median cost per claim is $102.43.
Total Paid
$21.1M
0.00% of all spending
Total Claims
252K
Providers
46
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for M0360? Based on 45 providers billing this code nationally.
Median
$102.43
Average
$96.97
Std Dev
$34.12
Max
$158.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $79.66 and $118.54 per claim for this code.
90% bill between $58.36 and $134.49.
Top 1% bill above $155.26.
About This Procedure
HCPCS code M0360 was billed by 46 providers across 252K claims, totaling $21.1M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$102.43
Providers Billing
45
National Spending
$21.1M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0360
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $2.7M |
| 2 | Lifetime Living Inc. San Antonio, TX · Case Management | $1.8M |
| 3 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $1.5M |
| 4 | 1437215415 | $1.1M |
| 5 | 1598084774 | $938K |
| 6 | 1659516433 | $929K |
| 7 | Texana Center Rosenberg, TX · Counselor, Mental Health | $908K |
| 8 | 1215370747 | $829K |
| 9 | 1982867289 | $741K |
| 10 | 1518391614 | $690K |
| 11 | 1003974999 | $660K |
| 12 | 1740426394 | $627K |
| 13 | 1629138144 | $603K |
| 14 | 1164700365 | $553K |
| 15 | 1518062520 | $548K |
| 16 | 1144309709 | $538K |
| 17 | 1265528798 | $483K |
| 18 | 1417011396 | $440K |
| 19 | 1053588558 | $423K |
| 20 | 1437278868 | $397K |
Showing top 20 of 46 providers billing this code