M0361
HCPCS Procedure Code
HCPCS code M0361 is the #1,286 most-billed Medicaid procedure code, with $29.2M in payments across 160K claims from 2018–2024. The national median cost per claim is $151.88. Costs vary widely — the 90th percentile is $308.04 per claim, 2.0× the median.
Total Paid
$29.2M
0.00% of all spending
Total Claims
160K
Providers
9
Avg Cost/Claim
$182
National Cost Distribution
How much do providers bill per claim for M0361? Based on 9 providers billing this code nationally.
Median
$151.88
Average
$229.07
Std Dev
$234.81
Max
$854.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $146.46 and $166.09 per claim for this code.
90% bill between $131.61 and $308.04.
Top 1% bill above $799.51.
About This Procedure
HCPCS code M0361 was billed by 9 providers across 160K claims, totaling $29.2M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$151.88
Providers Billing
9
National Spending
$29.2M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for M0361
| # | Provider | Total Paid |
|---|---|---|
| 1 | Segnik Group Inc Houston, TX · Supports Brokerage | $7.8M |
| 2 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $6.8M |
| 3 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $5.4M |
| 4 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $3.4M |
| 5 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $2.0M |
| 6 | 1124158175 | $1.6M |
| 7 | 1578631024 | $1.1M |
| 8 | 1720149982 | $911K |
| 9 | 1497049779 | $184K |
Showing top 9 of 9 providers billing this code