M0539
HCPCS Procedure Code
HCPCS code M0539 is the #5,281 most-billed Medicaid procedure code, with $242K in payments across 38K claims from 2018–2024. The national median cost per claim is $7.60.
Total Paid
$242K
0.00% of all spending
Total Claims
38K
Providers
6
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for M0539? Based on 6 providers billing this code nationally.
Median
$7.60
Average
$7.96
Std Dev
$4.88
Max
$15.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.35 and $10.91 per claim for this code.
90% bill between $3.01 and $13.27.
Top 1% bill above $14.90.
About This Procedure
HCPCS code M0539 was billed by 6 providers across 38K claims, totaling $242K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.60
Providers Billing
6
National Spending
$242K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0539
| # | Provider | Total Paid |
|---|---|---|
| 1 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $100K |
| 2 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $46K |
| 3 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $43K |
| 4 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $29K |
| 5 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $20K |
| 6 | Imagine Enterprises Seabrook, TX · Supports Brokerage | $3K |
Showing top 6 of 6 providers billing this code