M0201
HCPCS Procedure Code
HCPCS code M0201 is the #3,514 most-billed Medicaid procedure code, with $1.6M in payments across 65K claims from 2018–2024. The national median cost per claim is $18.33.
Total Paid
$1.6M
0.00% of all spending
Total Claims
65K
Providers
181
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for M0201? Based on 82 providers billing this code nationally.
Median
$18.33
Average
$18.22
Std Dev
$12.38
Max
$43.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.32 and $29.08 per claim for this code.
90% bill between $1.57 and $33.57.
Top 1% bill above $37.14.
About This Procedure
HCPCS code M0201 was billed by 181 providers across 65K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.33
Providers Billing
82
National Spending
$1.6M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0201
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $260K |
| 2 | Lifetime Living Inc. San Antonio, TX · Case Management | $164K |
| 3 | 1861608515 | $147K |
| 4 | 1821023714 | $117K |
| 5 | 1578698395 | $114K |
| 6 | 1437215415 | $110K |
| 7 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $109K |
| 8 | 1437278868 | $101K |
| 9 | 1801940929 | $79K |
| 10 | 1598084774 | $75K |
| 11 | 1316016355 | $56K |
| 12 | 1518062520 | $43K |
| 13 | 1265528798 | $25K |
| 14 | 1518391614 | $21K |
| 15 | 1841304201 | $20K |
| 16 | 1538541065 | $20K |
| 17 | 1598997926 | $19K |
| 18 | 1942404405 | $10K |
| 19 | 1942725494 | $9K |
| 20 | 1922185248 | $8K |
Showing top 20 of 181 providers billing this code