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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $4.7M |
| 2 | Lifetime Living Inc. San Antonio, TX · Case Management | $3.3M |
| 3 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $3.3M |
| 4 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $1.8M |
| 5 | 1326252214 | $1.7M |
| 6 | 1598084774 | $1.5M |
| 7 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $1.4M |
| 8 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $1.4M |
| 9 | 1790860666 | $1.2M |
| 10 | 1144658428 | $1.2M |
| 11 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.2M |
| 12 | 1013261015 | $1.1M |
| 13 | 1295911386 | $1.1M |
| 14 | 1710014618 | $1.1M |
| 15 | 1811039225 | $1.0M |
| 16 | 1659558856 | $1.0M |
| 17 | 1871794933 | $971K |
| 18 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $964K |
| 19 | 1801838461 | $941K |
| 20 | Texana Center Rosenberg, TX · Counselor, Mental Health | $934K |
Showing top 20 of 68 providers billing this code