M0135
HCPCS Procedure Code
HCPCS code M0135 is the #3,879 most-billed Medicaid procedure code, with $1.1M in payments across 13K claims from 2018–2024. The national median cost per claim is $79.23.
Total Paid
$1.1M
0.00% of all spending
Total Claims
13K
Providers
12
Avg Cost/Claim
$80
National Cost Distribution
How much do providers bill per claim for M0135? Based on 12 providers billing this code nationally.
Median
$79.23
Average
$80.67
Std Dev
$8.65
Max
$99.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $77.21 and $85.27 per claim for this code.
90% bill between $72.61 and $89.12.
Top 1% bill above $98.46.
About This Procedure
HCPCS code M0135 was billed by 12 providers across 13K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$79.23
Providers Billing
12
National Spending
$1.1M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0135
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235431453 | $319K |
| 2 | 1811039225 | $135K |
| 3 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $132K |
| 4 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $106K |
| 5 | 1144658428 | $82K |
| 6 | 1386982700 | $71K |
| 7 | 1417156100 | $65K |
| 8 | Lifetime Living Inc. San Antonio, TX · Case Management | $63K |
| 9 | 1689756439 | $46K |
| 10 | Rock House Support Services, Inc. Stephenville, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $17K |
| 11 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $13K |
| 12 | Berry Family Services Rowlett, TX · Case Management | $10K |
Showing top 12 of 12 providers billing this code