M0117
HCPCS Procedure Code
HCPCS code M0117 is the #2,133 most-billed Medicaid procedure code, with $8.6M in payments across 196K claims from 2018–2024. The national median cost per claim is $47.85.
Total Paid
$8.6M
0.00% of all spending
Total Claims
196K
Providers
38
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for M0117? Based on 38 providers billing this code nationally.
Median
$47.85
Average
$47.42
Std Dev
$4.42
Max
$59.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.92 and $49.27 per claim for this code.
90% bill between $43.65 and $51.81.
Top 1% bill above $57.09.
About This Procedure
HCPCS code M0117 was billed by 38 providers across 196K claims, totaling $8.6M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.85
Providers Billing
38
National Spending
$8.6M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0117
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $1.2M |
| 2 | Berry Family Services Rowlett, TX · Case Management | $913K |
| 3 | 1336340157 | $447K |
| 4 | 1134320294 | $362K |
| 5 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $328K |
| 6 | 1598084774 | $328K |
| 7 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $312K |
| 8 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $311K |
| 9 | 1013261015 | $286K |
| 10 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $265K |
| 11 | Lifetime Living Inc. San Antonio, TX · Case Management | $264K |
| 12 | 1598974057 | $260K |
| 13 | 1811039225 | $260K |
| 14 | 1326252214 | $244K |
| 15 | 1972700094 | $214K |
| 16 | 1427259241 | $201K |
| 17 | 1205037066 | $200K |
| 18 | 1710014618 | $197K |
| 19 | 1295944759 | $194K |
| 20 | 1417156100 | $186K |
Showing top 20 of 38 providers billing this code