A5501
HCPCS Procedure Code
HCPCS code A5501 is the #5,194 most-billed Medicaid procedure code, with $265K in payments across 4,060 claims from 2018–2024. The national median cost per claim is $107.80.
Total Paid
$265K
0.00% of all spending
Total Claims
4,060
Providers
7
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for A5501? Based on 6 providers billing this code nationally.
Median
$107.80
Average
$102.28
Std Dev
$59.69
Max
$194.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.79 and $120.60 per claim for this code.
90% bill between $39.57 and $159.46.
Top 1% bill above $190.70.
About This Procedure
HCPCS code A5501 was billed by 7 providers across 4,060 claims, totaling $265K in Medicaid payments from 2018–2024. This code was used for 1,614 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$107.80
Providers Billing
6
National Spending
$265K
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5501
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073922563 | $229K |
| 2 | 1508195066 | $13K |
| 3 | 1912465311 | $12K |
| 4 | Integra Partners Llc Troy, MI · Orthotic Fitter | $6K |
| 5 | 1316249352 | $4K |
| 6 | 1821566639 | $609 |
| 7 | 1568530855 | $0 |
Showing top 7 of 7 providers billing this code