M0145
HCPCS Procedure Code
HCPCS code M0145 is the #3,019 most-billed Medicaid procedure code, with $2.8M in payments across 22K claims from 2018–2024. The national median cost per claim is $96.21.
Total Paid
$2.8M
0.00% of all spending
Total Claims
22K
Providers
10
Avg Cost/Claim
$126
National Cost Distribution
How much do providers bill per claim for M0145? Based on 10 providers billing this code nationally.
Median
$96.21
Average
$114.40
Std Dev
$47.49
Max
$241.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $90.69 and $119.52 per claim for this code.
90% bill between $85.29 and $142.74.
Top 1% bill above $231.36.
About This Procedure
HCPCS code M0145 was billed by 10 providers across 22K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$96.21
Providers Billing
10
National Spending
$2.8M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0145
| # | Provider | Total Paid |
|---|---|---|
| 1 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $989K |
| 2 | Segnik Group Inc Houston, TX · Supports Brokerage | $385K |
| 3 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $287K |
| 4 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $282K |
| 5 | 1124158175 | $196K |
| 6 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $177K |
| 7 | In-home Attendant Services Ltd. Houston, TX · Technician Personal Care Attendant | $157K |
| 8 | 1720149982 | $116K |
| 9 | 1578631024 | $84K |
| 10 | 1497049779 | $81K |
Showing top 10 of 10 providers billing this code