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#1474 of 11K

M0124

HCPCS Procedure Code

HCPCS code M0124 is the #1,474 most-billed Medicaid procedure code, with $22.0M in payments across 184K claims from 2018–2024. The national median cost per claim is $119.18.

Total Paid

$22.0M

0.00% of all spending

Total Claims

184K

Providers

25

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for M0124? Based on 25 providers billing this code nationally.

Median

$119.18

Average

$119.18

Std Dev

$0.02

Max

$119.18

Percentile Distribution (Cost per Claim)

p10
$119.18
p25
$119.18
Median
$119.18
p75
$119.18
p90
$119.18
p95
$119.18
p99
$119.18

50% of providers bill between $119.18 and $119.18 per claim for this code.

90% bill between $119.18 and $119.18.

Top 1% bill above $119.18.

About This Procedure

HCPCS code M0124 was billed by 25 providers across 184K claims, totaling $22.0M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$119.18

Providers Billing

25

National Spending

$22.0M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0124

#ProviderTotal Paid
1Berry Family Services

Rowlett, TX · Case Management

$3.8M
2Daybreak Community Services Texas Llc

Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

$2.1M
31598084774$1.6M
4Abiding Choice Inc

Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

$1.4M
51326252214$1.2M
6Lifetime Living Inc.

San Antonio, TX · Case Management

$1.1M
71013261015$1.1M
81811039225$1.1M
9Advantage Behavioral Services, Inc.

San Antonio, TX · Case Management

$1.0M
10Wellness Healthcare Solutions Inc.

Desoto, TX · Day Training, Developmentally Disabled Services

$947K
111710014618$827K
121619990835$747K
131629474820$704K
141154497444$697K
151912167214$681K
161336340157$631K
171801962295$576K
181013297704$491K
191164682357$407K
201467810630$218K

Showing top 20 of 25 providers billing this code