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#5365 of 11K

A5071

HCPCS Procedure Code

HCPCS code A5071 is the #5,365 most-billed Medicaid procedure code, with $218K in payments across 3K claims from 2018–2024. The national median cost per claim is $64.49.

Total Paid

$218K

0.00% of all spending

Total Claims

3K

Providers

5

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for A5071? Based on 5 providers billing this code nationally.

Median

$64.49

Average

$75.00

Std Dev

$31.76

Max

$119.80

Percentile Distribution (Cost per Claim)

p10
$46.72
p25
$55.90
Median
$64.49
p75
$94.21
p90
$109.57
p95
$114.69
p99
$118.78

50% of providers bill between $55.90 and $94.21 per claim for this code.

90% bill between $46.72 and $109.57.

Top 1% bill above $118.78.

About This Procedure

HCPCS code A5071 was billed by 5 providers across 3K claims, totaling $218K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.49

Providers Billing

5

National Spending

$218K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A5071

#ProviderTotal Paid
11275851800$87K
21609104736$79K
3Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$37K
4Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$8K
51649244138$7K

Showing top 5 of 5 providers billing this code