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#8713 of 11K

M1207

HCPCS Procedure Code

HCPCS code M1207 is the #8,713 most-billed Medicaid procedure code, with $1K in payments across 89K claims from 2018–2024. The national median cost per claim is $0.00.

Total Paid

$1K

0.00% of all spending

Total Claims

89K

Providers

177

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for M1207? Based on 16 providers billing this code nationally.

Median

$0.00

Average

$0.11

Std Dev

$0.19

Max

$0.56

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.00
p75
$0.11
p90
$0.42
p95
$0.47
p99
$0.54

50% of providers bill between $0.00 and $0.11 per claim for this code.

90% bill between $0.00 and $0.42.

Top 1% bill above $0.54.

About This Procedure

HCPCS code M1207 was billed by 177 providers across 89K claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 70K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.00

Providers Billing

16

National Spending

$1K

Top Providers Billing This Code

Ranked by total Medicaid payments for M1207

#ProviderTotal Paid
11093130742$360
21669115747$342
3Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$309
41366100364$262
51598995847$132
61366477465$18
71740535988$14
81962807156$10
91992735252$2
101184723538$1
111346422862$0
121538622360$0
131710494174$0
141003075029$0
151154392132$0
161770272221$0
171417912031$0
181992180566$0
191467856385$0
201972384139$0

Showing top 20 of 177 providers billing this code