M0315
HCPCS Procedure Code
HCPCS code M0315 is the #3,558 most-billed Medicaid procedure code, with $1.5M in payments across 52K claims from 2018–2024. The national median cost per claim is $29.80.
Total Paid
$1.5M
0.00% of all spending
Total Claims
52K
Providers
152
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for M0315? Based on 152 providers billing this code nationally.
Median
$29.80
Average
$32.67
Std Dev
$12.24
Max
$105.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.79 and $37.82 per claim for this code.
90% bill between $22.07 and $47.78.
Top 1% bill above $68.64.
About This Procedure
HCPCS code M0315 was billed by 152 providers across 52K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.80
Providers Billing
152
National Spending
$1.5M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0315
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $139K |
| 2 | Berry Family Services Rowlett, TX · Case Management | $89K |
| 3 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $61K |
| 4 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $56K |
| 5 | Lifetime Living Inc. San Antonio, TX · Case Management | $55K |
| 6 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $47K |
| 7 | Texana Center Rosenberg, TX · Counselor, Mental Health | $42K |
| 8 | 1871794933 | $38K |
| 9 | 1710014618 | $34K |
| 10 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $31K |
| 11 | 1689756439 | $31K |
| 12 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $30K |
| 13 | 1295944759 | $29K |
| 14 | 1790860666 | $27K |
| 15 | 1316002439 | $26K |
| 16 | 1154497444 | $25K |
| 17 | 1427259241 | $25K |
| 18 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $25K |
| 19 | 1518062520 | $24K |
| 20 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $23K |
Showing top 20 of 152 providers billing this code