M0133
HCPCS Procedure Code
HCPCS code M0133 is the #2,136 most-billed Medicaid procedure code, with $8.6M in payments across 103K claims from 2018–2024. The national median cost per claim is $84.70.
Total Paid
$8.6M
0.00% of all spending
Total Claims
103K
Providers
131
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for M0133? Based on 131 providers billing this code nationally.
Median
$84.70
Average
$89.11
Std Dev
$41.89
Max
$301.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.32 and $103.26 per claim for this code.
90% bill between $45.36 and $133.88.
Top 1% bill above $238.10.
About This Procedure
HCPCS code M0133 was billed by 131 providers across 103K claims, totaling $8.6M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$84.70
Providers Billing
131
National Spending
$8.6M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0133
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $1.0M |
| 2 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $440K |
| 3 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $392K |
| 4 | Lifetime Living Inc. San Antonio, TX · Case Management | $271K |
| 5 | 1013297704 | $257K |
| 6 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $243K |
| 7 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $210K |
| 8 | 1295254159 | $196K |
| 9 | 1396954855 | $186K |
| 10 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $177K |
| 11 | Berry Family Services Rowlett, TX · Case Management | $175K |
| 12 | 1154782662 | $168K |
| 13 | 1033642137 | $162K |
| 14 | 1710014618 | $152K |
| 15 | 1801962295 | $140K |
| 16 | 1427368349 | $135K |
| 17 | 1922160571 | $134K |
| 18 | 1871704544 | $133K |
| 19 | 1598974057 | $131K |
| 20 | 1891971297 | $130K |
Showing top 20 of 131 providers billing this code