99367
HCPCS Procedure Code
HCPCS code 99367 is the #2,899 most-billed Medicaid procedure code, with $3.1M in payments across 87K claims from 2018–2024. The national median cost per claim is $35.65. Costs vary widely — the 90th percentile is $74.55 per claim, 2.1× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
87K
Providers
191
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for 99367? Based on 167 providers billing this code nationally.
Median
$35.65
Average
$56.29
Std Dev
$166.48
Max
$1,549.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.61 and $43.97 per claim for this code.
90% bill between $10.52 and $74.55.
Top 1% bill above $968.31.
About This Procedure
HCPCS code 99367 was billed by 191 providers across 87K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.65
Providers Billing
167
National Spending
$3.1M
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99367
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013476787 | $307K |
| 2 | 1760596480 | $270K |
| 3 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $175K |
| 4 | 1194047563 | $106K |
| 5 | 1871800177 | $99K |
| 6 | 1619995370 | $99K |
| 7 | Kid Success Inc. Conway, AR · Clinic/Center Rehabilitation | $89K |
| 8 | Full Potential Little Rock, AR · Clinic/Center Primary Care | $84K |
| 9 | Santa Barbara County Auditor Santa Barbara, CA · Psychologist | $83K |
| 10 | Pathfinder Inc. Jacksonville, AR · Day Training Developmentally Disabled Services | $74K |
| 11 | 1629136098 | $72K |
| 12 | 1831200310 | $72K |
| 13 | 1427168889 | $67K |
| 14 | 1306949482 | $62K |
| 15 | 1649225632 | $57K |
| 16 | 1043260474 | $53K |
| 17 | 1629361217 | $50K |
| 18 | 1376709535 | $47K |
| 19 | 1447306113 | $45K |
| 20 | 1063616613 | $44K |
Showing top 20 of 191 providers billing this code