Mathematics is an important subject taught in primary and secondary schools that equips students with foundational knowledge and skills for organizing their lives. This study determined the Mathematics proficiency level among the Grade Three pupils in Cagayan de Oro City in School Year 2022-2023. Specifically, it sought to determine the respondents’ profile in terms of language used at home, study habits, parental involvement, and attitude towards Mathematics; find out the proficiency level in Mathematics; and determine the significant relationship between the respondents’ proficiency level in Mathematics when grouped according to their profile. Data were gathered from one hundred fifty (150) respondents. The researcher-made questionnaire and Mathematics Test patterned from the Division of Cagayan de Oro Periodical Tests for the School Year 2022-2023 were utilized in the study. It used a descriptive research design to analyze the data using frequency, mean, standard deviation, correlation analysis, and P-value. Findings revealed a significant relationship between respondents’ proficiency level in Mathematics and their study habits, parental involvement, and attitude towards Mathematics. In contrast, no significant relationship exists between the language used at home. It is recommended that teachers incorporate literacy in teaching Mathematics, use game-based strategies, and review Mathematics lessons to increase the chances of obtaining high scores.