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#6882 of 11K

A5507

HCPCS Procedure Code

HCPCS code A5507 is the #6,882 most-billed Medicaid procedure code, with $38K in payments across 1,129 claims from 2018–2024. The national median cost per claim is $42.42.

Total Paid

$38K

0.00% of all spending

Total Claims

1,129

Providers

2

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for A5507? Based on 2 providers billing this code nationally.

Median

$42.42

Average

$42.42

Std Dev

$15.50

Max

$53.38

Percentile Distribution (Cost per Claim)

p10
$33.65
p25
$36.94
Median
$42.42
p75
$47.90
p90
$51.19
p95
$52.29
p99
$53.17

50% of providers bill between $36.94 and $47.90 per claim for this code.

90% bill between $33.65 and $51.19.

Top 1% bill above $53.17.

About This Procedure

HCPCS code A5507 was billed by 2 providers across 1,129 claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 867 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.42

Providers Billing

2

National Spending

$38K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.