M0111
HCPCS Procedure Code
HCPCS code M0111 is the #2,165 most-billed Medicaid procedure code, with $8.3M in payments across 44K claims from 2018–2024. The national median cost per claim is $189.91.
Total Paid
$8.3M
0.00% of all spending
Total Claims
44K
Providers
12
Avg Cost/Claim
$189
National Cost Distribution
How much do providers bill per claim for M0111? Based on 12 providers billing this code nationally.
Median
$189.91
Average
$193.59
Std Dev
$32.94
Max
$285.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $185.31 and $194.50 per claim for this code.
90% bill between $157.45 and $208.60.
Top 1% bill above $276.91.
About This Procedure
HCPCS code M0111 was billed by 12 providers across 44K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$189.91
Providers Billing
12
National Spending
$8.3M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0111
| # | Provider | Total Paid |
|---|---|---|
| 1 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $2.9M |
| 2 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $1.2M |
| 3 | Segnik Group Inc Houston, TX · Supports Brokerage | $1.2M |
| 4 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $901K |
| 5 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $659K |
| 6 | 1124158175 | $655K |
| 7 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $400K |
| 8 | 1497049779 | $207K |
| 9 | 1578631024 | $75K |
| 10 | 1720149982 | $64K |
| 11 | 1932486925 | $46K |
| 12 | Imagine Enterprises Seabrook, TX · Supports Brokerage | $35K |
Showing top 12 of 12 providers billing this code