M0209
HCPCS Procedure Code
HCPCS code M0209 is the #2,385 most-billed Medicaid procedure code, with $6.2M in payments across 33K claims from 2018–2024. The national median cost per claim is $189.12.
Total Paid
$6.2M
0.00% of all spending
Total Claims
33K
Providers
11
Avg Cost/Claim
$187
National Cost Distribution
How much do providers bill per claim for M0209? Based on 11 providers billing this code nationally.
Median
$189.12
Average
$185.20
Std Dev
$18.40
Max
$210.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $177.76 and $192.37 per claim for this code.
90% bill between $154.79 and $210.08.
Top 1% bill above $210.08.
About This Procedure
HCPCS code M0209 was billed by 11 providers across 33K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$189.12
Providers Billing
11
National Spending
$6.2M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0209
| # | Provider | Total Paid |
|---|---|---|
| 1 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $1.6M |
| 2 | Segnik Group Inc Houston, TX · Supports Brokerage | $1.6M |
| 3 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $1.3M |
| 4 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $674K |
| 5 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $474K |
| 6 | 1124158175 | $407K |
| 7 | 1578631024 | $69K |
| 8 | 1497049779 | $47K |
| 9 | 1720149982 | $43K |
| 10 | 1932486925 | $17K |
| 11 | Imagine Enterprises Seabrook, TX · Supports Brokerage | $16K |
Showing top 11 of 11 providers billing this code