#2507 of 11K

A0210

HCPCS Procedure Code

HCPCS code A0210 is the #2,507 most-billed Medicaid procedure code, with $5.3M in payments across 124K claims from 2018–2024. The national median cost per claim is $24.29. Costs vary widely — the 90th percentile is $108.61 per claim, 4.5× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

124K

Providers

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for A0210? Based on 24 providers billing this code nationally.

Median

$24.29

Average

$38.43

Std Dev

$42.90

Max

$161.89

Percentile Distribution (Cost per Claim)

p10

$4.40

p25

$10.68

Median

$24.29

p75

$42.24

p90

$108.61

p95

$115.65

p99

$151.41

50% of providers bill between $10.68 and $42.24 per claim for this code.

90% bill between $4.40 and $108.61.

Top 1% bill above $151.41.

About This Procedure

HCPCS code A0210 was billed by 26 providers across 124K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.29

Providers Billing

National Spending

$5.3M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A0210

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1518406347	$1.7M	$101.02	4.2× median	Above 75th
2	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$742K	$73.66	3.0× median	Above 75th
3	1295273159	$564K	$161.89	6.7× median	Top 1%
4	1891822979	$560K	$111.86	4.6× median	Top 10%
5	Access2care Llc Lake St Louis, MO · Transportation Broker	$494K	$40.46	1.7× median	Above Median
6	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$315K	$22.87	0.9× median	Below Median
7	1750590840	$178K	$116.31	4.8× median	Top 10%
8	Not Found Unknown, Unknown · Unknown	$155K	$12.56	0.5× median	Below Median
9	Yukon-kuskokwim Health Corporation Bethel, AK · Physician Assistant	$135K	$29.63	1.2× median	Above Median
10	1720482433	$87K	$10.61	0.4× median	Below Median
11	Intelliride Llc Lombard, IL · Transportation Broker	$86K	$26.54	1.1× median	Above Median
12	1265641591	$47K	$25.87	1.1× median	Above Median
13	1356307581	$42K	$10.70	0.4× median	Below Median
14	1962688200	$39K	$5.21	0.2× median	Below Median
15	1801471883	$30K	$22.48	0.9× median	Below Median
16	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$23K	$25.71	1.1× median	Above Median
17	1346297843	$21K	$9.34	0.4× median	Below Median
18	1346752565	$16K	$1.78	0.1× median	Below Median
19	Modivcare Solutions, Llc Denver, CO · Transportation Broker	$11K	$47.58	2.0× median	Above 75th
20	1124426291	$7K	$4.05	0.2× median	Below Median

Showing top 20 of 26 providers billing this code

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