Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2255 of 11K

M0373

HCPCS Procedure Code

HCPCS code M0373 is the #2,255 most-billed Medicaid procedure code, with $7.4M in payments across 117K claims from 2018–2024. The national median cost per claim is $53.80.

Total Paid

$7.4M

0.00% of all spending

Total Claims

117K

Providers

10

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for M0373? Based on 10 providers billing this code nationally.

Median

$53.80

Average

$70.30

Std Dev

$62.42

Max

$242.10

Percentile Distribution (Cost per Claim)

p10
$32.36
p25
$39.89
Median
$53.80
p75
$63.23
p90
$98.55
p95
$170.32
p99
$227.74

50% of providers bill between $39.89 and $63.23 per claim for this code.

90% bill between $32.36 and $98.55.

Top 1% bill above $227.74.

About This Procedure

HCPCS code M0373 was billed by 10 providers across 117K claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.80

Providers Billing

10

National Spending

$7.4M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0373

#ProviderTotal Paid
1Consumer Directed Services In Texas Inc.

San Antonio, TX · Supports Brokerage

$2.2M
2Segnik Group Inc

Houston, TX · Supports Brokerage

$1.6M
3Eak Good Neighbor Properties

Mount Vernon, TX · Day Training, Developmentally Disabled Services

$919K
4Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$872K
5Alamo Consumer Direct, Llc

Austin, TX · Supports Brokerage

$592K
61124158175$577K
7In-home Attendant Services Ltd.

Houston, TX · Technician Personal Care Attendant

$368K
81720149982$166K
9Imagine Enterprises

Seabrook, TX · Supports Brokerage

$46K
101578631024$45K

Showing top 10 of 10 providers billing this code

Related Procedures