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#663 of 11K

M0150

HCPCS Procedure Code

HCPCS code M0150 is the #663 most-billed Medicaid procedure code, with $112.5M in payments across 717K claims from 2018–2024. The national median cost per claim is $161.06.

Total Paid

$112.5M

0.01% of all spending

Total Claims

717K

Providers

79

Avg Cost/Claim

$157

National Cost Distribution

How much do providers bill per claim for M0150? Based on 79 providers billing this code nationally.

Median

$161.06

Average

$156.05

Std Dev

$19.57

Max

$179.53

Percentile Distribution (Cost per Claim)

p10
$151.76
p25
$156.47
Median
$161.06
p75
$161.74
p90
$162.03
p95
$162.66
p99
$173.69

50% of providers bill between $156.47 and $161.74 per claim for this code.

90% bill between $151.76 and $162.03.

Top 1% bill above $173.69.

About This Procedure

HCPCS code M0150 was billed by 79 providers across 717K claims, totaling $112.5M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$161.06

Providers Billing

79

National Spending

$112.5M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0150

#ProviderTotal Paid
1Daybreak Community Services Texas Llc

Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

$16.4M
2D&s Residential Services, Lp

Austin, TX · Intermediate Care Facility, Intellectual Disabilities

$7.0M
3Rock House Support Services, Inc.

Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$5.7M
4St. Giles Living Centers, Inc.

Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$4.7M
51871794933$4.0M
61396954855$2.9M
71598974057$2.9M
81871704544$2.8M
91427259241$2.5M
101467867143$2.2M
111295944759$2.2M
121972700094$2.1M
131548462914$1.9M
141891823381$1.6M
151033248018$1.6M
16Texana Center

Rosenberg, TX · Counselor, Mental Health

$1.5M
171831217710$1.5M
181861601320$1.4M
191841409307$1.4M
201225239387$1.4M

Showing top 20 of 79 providers billing this code