M0143
HCPCS Procedure Code
HCPCS code M0143 is the #4,882 most-billed Medicaid procedure code, with $365K in payments across 5K claims from 2018–2024. The national median cost per claim is $105.09.
Total Paid
$365K
0.00% of all spending
Total Claims
5K
Providers
5
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for M0143? Based on 4 providers billing this code nationally.
Median
$105.09
Average
$102.24
Std Dev
$27.99
Max
$132.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $89.00 and $118.33 per claim for this code.
90% bill between $75.47 and $126.74.
Top 1% bill above $131.79.
About This Procedure
HCPCS code M0143 was billed by 5 providers across 5K claims, totaling $365K in Medicaid payments from 2018–2024. This code was used for 819 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$105.09
Providers Billing
4
National Spending
$365K
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0143
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $142K |
| 2 | Lifetime Living Inc. San Antonio, TX · Case Management | $80K |
| 3 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $77K |
| 4 | 1093916835 | $67K |
| 5 | 1144480278 | -$2K |
Showing top 5 of 5 providers billing this code