M0151
HCPCS Procedure Code
HCPCS code M0151 is the #1,882 most-billed Medicaid procedure code, with $12.3M in payments across 62K claims from 2018–2024. The national median cost per claim is $197.71.
Total Paid
$12.3M
0.00% of all spending
Total Claims
62K
Providers
9
Avg Cost/Claim
$197
National Cost Distribution
How much do providers bill per claim for M0151? Based on 9 providers billing this code nationally.
Median
$197.71
Average
$200.59
Std Dev
$11.90
Max
$231.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $196.32 and $198.41 per claim for this code.
90% bill between $195.31 and $205.24.
Top 1% bill above $229.12.
About This Procedure
HCPCS code M0151 was billed by 9 providers across 62K claims, totaling $12.3M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$197.71
Providers Billing
9
National Spending
$12.3M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0151
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $3.6M |
| 2 | 1336340157 | $2.3M |
| 3 | 1134320294 | $1.5M |
| 4 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $1.4M |
| 5 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.2M |
| 6 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $936K |
| 7 | 1972700094 | $827K |
| 8 | 1598974057 | $470K |
| 9 | 1295944759 | $83K |
Showing top 9 of 9 providers billing this code