M1016
HCPCS Procedure Code
HCPCS code M1016 is the #8,972 most-billed Medicaid procedure code, with $645 in payments across 28K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $0.52 per claim, 17.3× the median.
Total Paid
$645
0.00% of all spending
Total Claims
28K
Providers
21
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for M1016? Based on 3 providers billing this code nationally.
Median
$0.03
Average
$0.23
Std Dev
$0.36
Max
$0.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.01 and $0.34 per claim for this code.
90% bill between $0.01 and $0.52.
Top 1% bill above $0.63.
About This Procedure
HCPCS code M1016 was billed by 21 providers across 28K claims, totaling $645 in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.03
Providers Billing
3
National Spending
$645
Avg/Median Ratio
7.67×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for M1016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265051882 | $397 |
| 2 | 1932169240 | $248 |
| 3 | 1457744476 | $0 |
| 4 | 1780676650 | $0 |
| 5 | 1437245412 | $0 |
| 6 | 1497203541 | $0 |
| 7 | 1578021903 | $0 |
| 8 | 1396067500 | $0 |
| 9 | 1154736429 | $0 |
| 10 | 1710979588 | $0 |
| 11 | 1639599301 | $0 |
| 12 | 1053437509 | $0 |
| 13 | 1851300123 | $0 |
| 14 | 1598122871 | $0 |
| 15 | 1336185164 | $0 |
| 16 | 1013353481 | $0 |
| 17 | 1093904914 | $0 |
| 18 | 1649662719 | $0 |
| 19 | 1649363375 | $0 |
| 20 | 1912312273 | $0 |
Showing top 20 of 21 providers billing this code