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#1031 of 11K

A0180

HCPCS Procedure Code

HCPCS code A0180 is the #1,031 most-billed Medicaid procedure code, with $46.9M in payments across 197K claims from 2018–2024. The national median cost per claim is $131.03. Costs vary widely — the 90th percentile is $544.62 per claim, 4.2× the median.

Total Paid

$46.9M

0.00% of all spending

Total Claims

197K

Providers

48

Avg Cost/Claim

$238

National Cost Distribution

How much do providers bill per claim for A0180? Based on 45 providers billing this code nationally.

Median

$131.03

Average

$310.96

Std Dev

$633.63

Max

$3,255.88

Percentile Distribution (Cost per Claim)

p10
$7.91
p25
$44.78
Median
$131.03
p75
$265.84
p90
$544.62
p95
$1,047.33
p99
$3,058.96

50% of providers bill between $44.78 and $265.84 per claim for this code.

90% bill between $7.91 and $544.62.

Top 1% bill above $3,058.96.

About This Procedure

HCPCS code A0180 was billed by 48 providers across 197K claims, totaling $46.9M in Medicaid payments from 2018–2024. This code was used for 112K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$131.03

Providers Billing

45

National Spending

$46.9M

Avg/Median Ratio

2.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A0180

#ProviderTotal Paid
1Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$17.9M
21518406347$9.7M
3Medical Transportation Management Inc.

Lake St Louis, MO · Transportation Broker

$4.2M
4Access2care Llc

Lake St Louis, MO · Transportation Broker

$2.8M
51942668439$1.7M
61720484108$1.6M
71891822979$1.6M
8Yukon-kuskokwim Health Corporation

Bethel, AK · Physician Assistant

$915K
91295273159$872K
101801471883$758K
111265641591$745K
121750590840$735K
131548429376$626K
14Medical Transportation Management Inc.

Lake St Louis, MO · Transportation Broker

$534K
15Not Found

Unknown, Unknown · Unknown

$505K
16Intelliride Llc

Lombard, IL · Transportation Broker

$397K
171700435062$303K
181437519840$149K
191962688200$117K
201639504376$111K

Showing top 20 of 48 providers billing this code