M0248
HCPCS Procedure Code
HCPCS code M0248 is the #4,366 most-billed Medicaid procedure code, with $632K in payments across 76K claims from 2018–2024. The national median cost per claim is $5.31. Costs vary widely — the 90th percentile is $15.83 per claim, 3.0× the median.
Total Paid
$632K
0.00% of all spending
Total Claims
76K
Providers
95
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for M0248? Based on 94 providers billing this code nationally.
Median
$5.31
Average
$34.45
Std Dev
$129.55
Max
$774.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.00 and $9.20 per claim for this code.
90% bill between $2.47 and $15.83.
Top 1% bill above $760.22.
About This Procedure
HCPCS code M0248 was billed by 95 providers across 76K claims, totaling $632K in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.31
Providers Billing
94
National Spending
$632K
Avg/Median Ratio
6.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for M0248
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588298053 | $172K |
| 2 | Berry Family Services Rowlett, TX · Case Management | $45K |
| 3 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $42K |
| 4 | 1932342276 | $27K |
| 5 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $26K |
| 6 | 1811039225 | $14K |
| 7 | Lifetime Living Inc. San Antonio, TX · Case Management | $13K |
| 8 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $13K |
| 9 | 1003978230 | $12K |
| 10 | 1871794933 | $11K |
| 11 | 1598084774 | $10K |
| 12 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $9K |
| 13 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $8K |
| 14 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $8K |
| 15 | 1427259241 | $8K |
| 16 | 1841409307 | $8K |
| 17 | 1871704544 | $8K |
| 18 | 1518062520 | $8K |
| 19 | 1790860666 | $7K |
| 20 | 1700926987 | $7K |
Showing top 20 of 95 providers billing this code