0364T
HCPCS Procedure Code
HCPCS code 0364T is the #1,113 most-billed Medicaid procedure code, with $39.9M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $21.31.
Total Paid
$39.9M
0.00% of all spending
Total Claims
1.3M
Providers
257
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 0364T? Based on 254 providers billing this code nationally.
Median
$21.31
Average
$26.47
Std Dev
$23.31
Max
$201.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.09 and $27.53 per claim for this code.
90% bill between $11.68 and $42.60.
Top 1% bill above $125.69.
About This Procedure
HCPCS code 0364T was billed by 257 providers across 1.3M claims, totaling $39.9M in Medicaid payments from 2018–2024. This code was used for 94K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.31
Providers Billing
254
National Spending
$39.9M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0364T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Centria Healthcare Llc Farmington Hills, MI · Home Health | $6.1M |
| 2 | 1104119619 | $4.9M |
| 3 | 1962765693 | $2.1M |
| 4 | 1972934537 | $1.5M |
| 5 | Gateway Pediatric Therapy Llc Bingham Farms, MI · Behavior Analyst | $1.4M |
| 6 | 1669651675 | $882K |
| 7 | 1447694831 | $767K |
| 8 | Macomb Oakland Regional Center Inc. Auburn Hills, MI · Community/Behavioral Health | $686K |
| 9 | 1891898045 | $663K |
| 10 | 1396085718 | $654K |
| 11 | 1609135748 | $573K |
| 12 | 1598007171 | $505K |
| 13 | 1821494584 | $501K |
| 14 | 1851478622 | $460K |
| 15 | Eric Lund Green Bay, WI · Psychologist Clinical | $445K |
| 16 | 1518366285 | $431K |
| 17 | Genesee Health System Flint, MI · Community/Behavioral Health | $399K |
| 18 | 1891172094 | $397K |
| 19 | 1740670454 | $368K |
| 20 | 1639571755 | $361K |
Showing top 20 of 257 providers billing this code