M0149
HCPCS Procedure Code
HCPCS code M0149 is the #1,929 most-billed Medicaid procedure code, with $11.4M in payments across 75K claims from 2018–2024. The national median cost per claim is $152.21.
Total Paid
$11.4M
0.00% of all spending
Total Claims
75K
Providers
11
Avg Cost/Claim
$152
National Cost Distribution
How much do providers bill per claim for M0149? Based on 11 providers billing this code nationally.
Median
$152.21
Average
$154.59
Std Dev
$8.05
Max
$177.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $151.68 and $152.81 per claim for this code.
90% bill between $151.43 and $157.80.
Top 1% bill above $175.81.
About This Procedure
HCPCS code M0149 was billed by 11 providers across 75K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$152.21
Providers Billing
11
National Spending
$11.4M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0149
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $3.8M |
| 2 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $1.6M |
| 3 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.3M |
| 4 | 1598974057 | $959K |
| 5 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $834K |
| 6 | 1295944759 | $831K |
| 7 | 1548462914 | $811K |
| 8 | 1467867143 | $728K |
| 9 | 1831217710 | $336K |
| 10 | 1871794933 | $119K |
| 11 | 1871704544 | $37K |
Showing top 11 of 11 providers billing this code