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#952 of 11K

M0125

HCPCS Procedure Code

HCPCS code M0125 is the #952 most-billed Medicaid procedure code, with $55.1M in payments across 586K claims from 2018–2024. The national median cost per claim is $94.07.

Total Paid

$55.1M

0.01% of all spending

Total Claims

586K

Providers

68

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for M0125? Based on 68 providers billing this code nationally.

Median

$94.07

Average

$94.07

Std Dev

$0.01

Max

$94.07

Percentile Distribution (Cost per Claim)

p10
$94.07
p25
$94.07
Median
$94.07
p75
$94.07
p90
$94.07
p95
$94.07
p99
$94.07

50% of providers bill between $94.07 and $94.07 per claim for this code.

90% bill between $94.07 and $94.07.

Top 1% bill above $94.07.

About This Procedure

HCPCS code M0125 was billed by 68 providers across 586K claims, totaling $55.1M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$94.07

Providers Billing

68

National Spending

$55.1M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0125

#ProviderTotal Paid
1Berry Family Services

Rowlett, TX · Case Management

$4.7M
2Lifetime Living Inc.

San Antonio, TX · Case Management

$3.3M
3Daybreak Community Services Texas Llc

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

$3.3M
4Advantage Behavioral Services, Inc.

San Antonio, TX · Case Management

$1.8M
51326252214$1.7M
61598084774$1.5M
7D&s Residential Services, Lp

Austin, TX · Intermediate Care Facility, Intellectual Disabilities

$1.4M
8Wellness Healthcare Solutions Inc.

Desoto, TX · Day Training, Developmentally Disabled Services

$1.4M
91790860666$1.2M
101144658428$1.2M
11Abiding Choice Inc

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

$1.2M
121013261015$1.1M
131295911386$1.1M
141710014618$1.1M
151811039225$1.0M
161659558856$1.0M
171871794933$971K
18St. Giles Living Centers, Inc.

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

$964K
191801838461$941K
20Texana Center

Rosenberg, TX · Counselor, Mental Health

$934K

Showing top 20 of 68 providers billing this code