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#59 of 11K

A0425

Ground mileage, per statute mile

Ground mileage, per statute mile is the #59 most-billed Medicaid procedure code, with $3.45B in payments across 121.8M claims from 2018–2024. The national median cost per claim is $23.36. Costs vary widely — the 90th percentile is $98.30 per claim, 4.2× the median.

Total Paid

$3.45B

0.32% of all spending

Total Claims

121.8M

Providers

9K

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for A0425? Based on 9K providers billing this code nationally.

Median

$23.36

Average

$44.30

Std Dev

$76.55

Max

$2,472.32

Percentile Distribution (Cost per Claim)

p10
$4.22
p25
$10.05
Median
$23.36
p75
$50.64
p90
$98.30
p95
$149.31
p99
$309.91

50% of providers bill between $10.05 and $50.64 per claim for this code.

90% bill between $4.22 and $98.30.

Top 1% bill above $309.91.

About This Procedure

HCPCS code A0425 (Ground mileage, per statute mile) was billed by 9K providers across 121.8M claims, totaling $3.45B in Medicaid payments from 2018–2024. This code was used for 62.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.36

Providers Billing

9K

National Spending

$3.45B

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A0425

#ProviderTotal Paid
1Call The Car

Pasadena, CA · Non-emergency Medical Transport (VAN)

$234.4M
2Intelliride Llc

Lombard, IL · Transportation Broker

$116.3M
3Acadian Ambulance Service Inc.

Lafayette, LA · Ambulance Air Transport

$100.0M
4Modivcare Solutions, Llc

Denver, CO · Transportation Broker

$80.7M
5Total Transit Inc

Glendale, AZ · Non-emergency Medical Transport (VAN)

$75.1M
6American Logistics Llc.

St. George, UT · Transportation Broker

$33.3M
7American Medical Response Of Maricopa, Llc

Mesa, AZ · Ambulance, Land Transport

$32.6M
8Ride2md Inc

Miami, FL · Transportation Broker

$31.4M
91336107838$23.1M
10Allina Health System

Saint Paul, MN · Ambulance

$21.1M
111558573410$18.8M
121710294368$18.4M
131881149151$18.3M
14Maricopa Ambulance, Llc

Phoenix, AZ · Ambulance, Land Transport

$18.2M
151306887260$16.9M
161760707582$16.6M
171285630459$15.9M
181538195912$15.5M
191639462476$15.5M
201316944846$15.5M

Showing top 20 of 9K providers billing this code