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#3879 of 11K

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)

p10
$72.61
p25
$77.21
Median
$79.23
p75
$85.27
p90
$89.12
p95
$94.02
p99
$98.46

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

#ProviderTotal Paid
11235431453$319K
21811039225$135K
3Wellness Healthcare Solutions Inc.

Desoto, TX · Day Training, Developmentally Disabled Services

$132K
4Daybreak Community Services Texas Llc

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

$106K
51144658428$82K
61386982700$71K
71417156100$65K
8Lifetime Living Inc.

San Antonio, TX · Case Management

$63K
91689756439$46K
10Rock House Support Services, Inc.

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

$17K
11Kenmar Residential Hcs Services Inc.

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

$13K
12Berry Family Services

Rowlett, TX · Case Management

$10K

Showing top 12 of 12 providers billing this code