0365T
Adaptive behavior treatment, each additional thirty minutes
Adaptive behavior treatment, each additional thirty minutes is the #520 most-billed Medicaid procedure code, with $168.7M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $106.05.
Total Paid
$168.7M
0.02% of all spending
Total Claims
1.3M
Providers
242
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for 0365T? Based on 239 providers billing this code nationally.
Median
$106.05
Average
$118.16
Std Dev
$67.92
Max
$444.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $70.92 and $155.22 per claim for this code.
90% bill between $46.48 and $190.85.
Top 1% bill above $338.68.
About This Procedure
HCPCS code 0365T (Adaptive behavior treatment, each additional thirty minutes) was billed by 242 providers across 1.3M claims, totaling $168.7M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$106.05
Providers Billing
239
National Spending
$168.7M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0365T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Centria Healthcare Llc Farmington Hills, MI · Home Health | $43.1M |
| 2 | Gateway Pediatric Therapy Llc Bingham Farms, MI · Behavior Analyst | $9.9M |
| 3 | 1669651675 | $6.9M |
| 4 | Macomb Oakland Regional Center Inc. Auburn Hills, MI · Community/Behavioral Health | $4.5M |
| 5 | 1609135748 | $3.5M |
| 6 | 1598007171 | $2.8M |
| 7 | 1851478622 | $2.8M |
| 8 | 1821494584 | $2.7M |
| 9 | 1891917449 | $2.7M |
| 10 | 1518366285 | $2.5M |
| 11 | Residential Options Inc. Lansing, MI · Behavior Analyst | $2.0M |
| 12 | 1770838468 | $2.0M |
| 13 | Genesee Health System Flint, MI · Community/Behavioral Health | $1.8M |
| 14 | 1740670454 | $1.8M |
| 15 | 1801289020 | $1.8M |
| 16 | 1023454451 | $1.6M |
| 17 | Eric Lund Green Bay, WI · Psychologist Clinical | $1.6M |
| 18 | 1508246745 | $1.5M |
| 19 | Hope Network Behavioral Health Services Nunica, MI · Psychiatry & Neurology, Child & Adolescent Psychiatry | $1.4M |
| 20 | 1417477175 | $1.3M |
Showing top 20 of 242 providers billing this code