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#2309 of 11K

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)

p10
$104.04
p25
$109.25
Median
$113.44
p75
$136.30
p90
$264.87
p95
$316.61
p99
$358.00

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

#ProviderTotal Paid
1Segnik Group Inc

Houston, TX · Supports Brokerage

$1.7M
2Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$1.7M
3Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$1.2M
4Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$822K
5Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$477K
61124158175$436K
71578631024$214K
81720149982$200K
91871955807$3K

Showing top 9 of 9 providers billing this code