M0241
HCPCS Procedure Code
HCPCS code M0241 is the #2,309 most-billed Medicaid procedure code, with $6.8M in payments across 51K claims from 2018–2024. The national median cost per claim is $113.44. Costs vary widely — the 90th percentile is $264.87 per claim, 2.3× the median.
Total Paid
$6.8M
0.00% of all spending
Total Claims
51K
Providers
9
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for M0241? Based on 9 providers billing this code nationally.
Median
$113.44
Average
$155.59
Std Dev
$90.63
Max
$368.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $109.25 and $136.30 per claim for this code.
90% bill between $104.04 and $264.87.
Top 1% bill above $358.00.
About This Procedure
HCPCS code M0241 was billed by 9 providers across 51K claims, totaling $6.8M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$113.44
Providers Billing
9
National Spending
$6.8M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0241
| # | Provider | Total Paid |
|---|---|---|
| 1 | Segnik Group Inc Houston, TX · Supports Brokerage | $1.7M |
| 2 | Consumer Directed Services In Texas Inc. San Antonio, TX · Supports Brokerage | $1.7M |
| 3 | Alamo Consumer Direct, Llc Austin, TX · Supports Brokerage | $1.2M |
| 4 | Acumen Fiscal Agent Llc Mesa, AZ · Community/Behavioral Health | $822K |
| 5 | Eak Good Neighbor Properties Mount Vernon, TX · Day Training, Developmentally Disabled Services | $477K |
| 6 | 1124158175 | $436K |
| 7 | 1578631024 | $214K |
| 8 | 1720149982 | $200K |
| 9 | 1871955807 | $3K |
Showing top 9 of 9 providers billing this code