A5120
HCPCS Procedure Code
HCPCS code A5120 is the #1,171 most-billed Medicaid procedure code, with $35.7M in payments across 3.0M claims from 2018–2024. The national median cost per claim is $6.35. Costs vary widely — the 90th percentile is $16.11 per claim, 2.5× the median.
Total Paid
$35.7M
0.00% of all spending
Total Claims
3.0M
Providers
574
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A5120? Based on 563 providers billing this code nationally.
Median
$6.35
Average
$8.76
Std Dev
$10.18
Max
$77.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.94 and $9.51 per claim for this code.
90% bill between $1.84 and $16.11.
Top 1% bill above $53.75.
About This Procedure
HCPCS code A5120 was billed by 574 providers across 3.0M claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 2.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.35
Providers Billing
563
National Spending
$35.7M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5120
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194837229 | $6.0M |
| 2 | 1619913357 | $2.5M |
| 3 | 1689792178 | $2.4M |
| 4 | B.w.medical Supply Co.,inc. Baltimore, MD · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $2.0M |
| 5 | 1598076804 | $1.2M |
| 6 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $994K |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $780K |
| 8 | 1417998345 | $644K |
| 9 | 1023524238 | $637K |
| 10 | 1750316055 | $609K |
| 11 | 1396758389 | $577K |
| 12 | 1417267634 | $557K |
| 13 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $548K |
| 14 | 1588860191 | $519K |
| 15 | 1831649573 | $505K |
| 16 | 1982927372 | $457K |
| 17 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $442K |
| 18 | 1366653545 | $406K |
| 19 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $404K |
| 20 | 1144207911 | $404K |
Showing top 20 of 574 providers billing this code