M0123
HCPCS Procedure Code
HCPCS code M0123 is the #526 most-billed Medicaid procedure code, with $165.4M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $76.14.
Total Paid
$165.4M
0.02% of all spending
Total Claims
2.2M
Providers
192
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for M0123? Based on 192 providers billing this code nationally.
Median
$76.14
Average
$76.14
Std Dev
$0.02
Max
$76.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $76.14 and $76.14 per claim for this code.
90% bill between $76.14 and $76.14.
Top 1% bill above $76.14.
About This Procedure
HCPCS code M0123 was billed by 192 providers across 2.2M claims, totaling $165.4M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.14
Providers Billing
192
National Spending
$165.4M
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0123
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $8.9M |
| 2 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $8.6M |
| 3 | Lifetime Living Inc. San Antonio, TX · Case Management | $6.3M |
| 4 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $2.9M |
| 5 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $2.8M |
| 6 | 1598084774 | $2.7M |
| 7 | Texana Center Rosenberg, TX · Counselor, Mental Health | $2.6M |
| 8 | 1790860666 | $2.5M |
| 9 | 1326252214 | $2.5M |
| 10 | 1871794933 | $2.3M |
| 11 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $2.3M |
| 12 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2.0M |
| 13 | 1811039225 | $2.0M |
| 14 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.9M |
| 15 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.9M |
| 16 | 1659558856 | $1.8M |
| 17 | 1801962295 | $1.7M |
| 18 | 1598974057 | $1.6M |
| 19 | 1558400333 | $1.6M |
| 20 | 1013297704 | $1.6M |
Showing top 20 of 192 providers billing this code