M0113
HCPCS Procedure Code
HCPCS code M0113 is the #2,089 most-billed Medicaid procedure code, with $9.2M in payments across 23K claims from 2018–2024. The national median cost per claim is $397.30.
Total Paid
$9.2M
0.00% of all spending
Total Claims
23K
Providers
128
Avg Cost/Claim
$399
National Cost Distribution
How much do providers bill per claim for M0113? Based on 128 providers billing this code nationally.
Median
$397.30
Average
$436.76
Std Dev
$162.42
Max
$1,084.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $322.90 and $509.77 per claim for this code.
90% bill between $286.06 and $631.07.
Top 1% bill above $1,007.19.
About This Procedure
HCPCS code M0113 was billed by 128 providers across 23K claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$397.30
Providers Billing
128
National Spending
$9.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0113
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $1.1M |
| 2 | Berry Family Services Rowlett, TX · Case Management | $511K |
| 3 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $465K |
| 4 | Lifetime Living Inc. San Antonio, TX · Case Management | $350K |
| 5 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $290K |
| 6 | 1710014618 | $212K |
| 7 | Texana Center Rosenberg, TX · Counselor, Mental Health | $192K |
| 8 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $188K |
| 9 | 1871794933 | $186K |
| 10 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $178K |
| 11 | 1154497444 | $174K |
| 12 | 1396954855 | $171K |
| 13 | 1295944759 | $170K |
| 14 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $158K |
| 15 | 1598974057 | $151K |
| 16 | 1790860666 | $146K |
| 17 | 1326252214 | $140K |
| 18 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $140K |
| 19 | 1427259241 | $138K |
| 20 | 1891823381 | $131K |
Showing top 20 of 128 providers billing this code