M0152
HCPCS Procedure Code
HCPCS code M0152 is the #972 most-billed Medicaid procedure code, with $52.4M in payments across 310K claims from 2018–2024. The national median cost per claim is $174.64.
Total Paid
$52.4M
0.00% of all spending
Total Claims
310K
Providers
41
Avg Cost/Claim
$169
National Cost Distribution
How much do providers bill per claim for M0152? Based on 41 providers billing this code nationally.
Median
$174.64
Average
$170.40
Std Dev
$17.41
Max
$183.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $169.49 and $175.23 per claim for this code.
90% bill between $165.73 and $175.91.
Top 1% bill above $181.97.
About This Procedure
HCPCS code M0152 was billed by 41 providers across 310K claims, totaling $52.4M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$174.64
Providers Billing
41
National Spending
$52.4M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0152
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $9.8M |
| 2 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $4.3M |
| 3 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $3.3M |
| 4 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2.6M |
| 5 | 1871794933 | $2.1M |
| 6 | 1972700094 | $2.0M |
| 7 | 1427259241 | $2.0M |
| 8 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.8M |
| 9 | 1417252321 | $1.3M |
| 10 | 1467867143 | $1.2M |
| 11 | 1295988186 | $1.1M |
| 12 | 1871704544 | $1.1M |
| 13 | 1841409307 | $1.1M |
| 14 | 1205037900 | $1.1M |
| 15 | 1922160571 | $1.1M |
| 16 | 1225239387 | $1.1M |
| 17 | 1336340157 | $1.0M |
| 18 | 1295944759 | $1.0M |
| 19 | 1558766329 | $984K |
| 20 | 1396954855 | $976K |
Showing top 20 of 41 providers billing this code