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#2165 of 11K

M0111

HCPCS Procedure Code

HCPCS code M0111 is the #2,165 most-billed Medicaid procedure code, with $8.3M in payments across 44K claims from 2018–2024. The national median cost per claim is $189.91.

Total Paid

$8.3M

0.00% of all spending

Total Claims

44K

Providers

12

Avg Cost/Claim

$189

National Cost Distribution

How much do providers bill per claim for M0111? Based on 12 providers billing this code nationally.

Median

$189.91

Average

$193.59

Std Dev

$32.94

Max

$285.17

Percentile Distribution (Cost per Claim)

p10
$157.45
p25
$185.31
Median
$189.91
p75
$194.50
p90
$208.60
p95
$243.87
p99
$276.91

50% of providers bill between $185.31 and $194.50 per claim for this code.

90% bill between $157.45 and $208.60.

Top 1% bill above $276.91.

About This Procedure

HCPCS code M0111 was billed by 12 providers across 44K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$189.91

Providers Billing

12

National Spending

$8.3M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0111

#ProviderTotal Paid
1Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$2.9M
2Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$1.2M
3Segnik Group Inc

Houston, TX · Supports Brokerage

$1.2M
4Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$901K
5Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$659K
61124158175$655K
7In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$400K
81497049779$207K
91578631024$75K
101720149982$64K
111932486925$46K
12Imagine Enterprises

Seabrook, TX · Supports Brokerage

$35K

Showing top 12 of 12 providers billing this code