M0118
HCPCS Procedure Code
HCPCS code M0118 is the #1,395 most-billed Medicaid procedure code, with $24.7M in payments across 694K claims from 2018–2024. The national median cost per claim is $38.00.
Total Paid
$24.7M
0.00% of all spending
Total Claims
694K
Providers
103
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for M0118? Based on 103 providers billing this code nationally.
Median
$38.00
Average
$37.80
Std Dev
$3.32
Max
$46.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.57 and $39.65 per claim for this code.
90% bill between $34.25 and $40.77.
Top 1% bill above $46.38.
About This Procedure
HCPCS code M0118 was billed by 103 providers across 694K claims, totaling $24.7M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.00
Providers Billing
103
National Spending
$24.7M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0118
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $2.5M |
| 2 | Berry Family Services Rowlett, TX · Case Management | $1.1M |
| 3 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $908K |
| 4 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $759K |
| 5 | 1871794933 | $619K |
| 6 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $591K |
| 7 | 1427259241 | $584K |
| 8 | Lifetime Living Inc. San Antonio, TX · Case Management | $472K |
| 9 | 1972700094 | $456K |
| 10 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $439K |
| 11 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $435K |
| 12 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $412K |
| 13 | 1598974057 | $399K |
| 14 | 1205037900 | $386K |
| 15 | 1144658428 | $376K |
| 16 | 1801838461 | $346K |
| 17 | 1710014618 | $319K |
| 18 | 1295988186 | $316K |
| 19 | 1013261015 | $315K |
| 20 | 1811039225 | $302K |
Showing top 20 of 103 providers billing this code