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#4146 of 11K

M0419

HCPCS Procedure Code

HCPCS code M0419 is the #4,146 most-billed Medicaid procedure code, with $806K in payments across 75K claims from 2018–2024. The national median cost per claim is $12.20.

Total Paid

$806K

0.00% of all spending

Total Claims

75K

Providers

18

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for M0419? Based on 16 providers billing this code nationally.

Median

$12.20

Average

$13.00

Std Dev

$6.34

Max

$30.18

Percentile Distribution (Cost per Claim)

p10
$6.96
p25
$8.71
Median
$12.20
p75
$15.11
p90
$19.51
p95
$23.56
p99
$28.86

50% of providers bill between $8.71 and $15.11 per claim for this code.

90% bill between $6.96 and $19.51.

Top 1% bill above $28.86.

About This Procedure

HCPCS code M0419 was billed by 18 providers across 75K claims, totaling $806K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.20

Providers Billing

16

National Spending

$806K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0419

#ProviderTotal Paid
1Berry Family Services

Rowlett, TX · Case Management

$183K
2Texana Center

Rosenberg, TX · Counselor, Mental Health

$111K
3Wellness Healthcare Solutions Inc.

Desoto, TX · Day Training, Developmentally Disabled Services

$92K
41316016355$73K
51437278868$72K
61912022807$55K
71851595268$48K
81710102330$46K
91942404405$41K
101578698395$28K
111316090186$27K
121417011396$20K
131831393990$11K
141598084774$2K
151861608515$2K
161801940929$1K
171265528798-$865
181336454461-$4K

Showing top 18 of 18 providers billing this code

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