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#789 of 11K

M0122

HCPCS Procedure Code

HCPCS code M0122 is the #789 most-billed Medicaid procedure code, with $79.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $72.56.

Total Paid

$79.7M

0.01% of all spending

Total Claims

1.1M

Providers

123

Avg Cost/Claim

$73

National Cost Distribution

How much do providers bill per claim for M0122? Based on 123 providers billing this code nationally.

Median

$72.56

Average

$72.56

Std Dev

$0.02

Max

$72.56

Percentile Distribution (Cost per Claim)

p10
$72.56
p25
$72.56
Median
$72.56
p75
$72.56
p90
$72.56
p95
$72.56
p99
$72.56

50% of providers bill between $72.56 and $72.56 per claim for this code.

90% bill between $72.56 and $72.56.

Top 1% bill above $72.56.

About This Procedure

HCPCS code M0122 was billed by 123 providers across 1.1M claims, totaling $79.7M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.56

Providers Billing

123

National Spending

$79.7M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0122

#ProviderTotal Paid
1Daybreak Community Services Texas Llc

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

$5.5M
2Berry Family Services

Rowlett, TX · Case Management

$3.7M
3Lifetime Living Inc.

San Antonio, TX · Case Management

$2.6M
4Texana Center

Rosenberg, TX · Counselor, Mental Health

$2.5M
5D&s Residential Services, Lp

Austin, TX · Intermediate Care Facility, Intellectual Disabilities

$2.3M
6St. Giles Living Centers, Inc.

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

$1.9M
71326252214$1.8M
8Advantage Behavioral Services, Inc.

San Antonio, TX · Case Management

$1.6M
91790860666$1.6M
101295944759$1.3M
111356498745$1.3M
121871794933$1.2M
131710014618$1.2M
141801962295$1.1M
151689727133$970K
16Wellness Healthcare Solutions Inc.

Desoto, TX · Day Training, Developmentally Disabled Services

$970K
171598974057$965K
181801838461$962K
19Abiding Choice Inc

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

$934K
201558400333$925K

Showing top 20 of 123 providers billing this code