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#4367 of 11K

A7001

HCPCS Procedure Code

HCPCS code A7001 is the #4,367 most-billed Medicaid procedure code, with $632K in payments across 21K claims from 2018–2024. The national median cost per claim is $23.87.

Total Paid

$632K

0.00% of all spending

Total Claims

21K

Providers

16

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for A7001? Based on 15 providers billing this code nationally.

Median

$23.87

Average

$25.93

Std Dev

$13.38

Max

$50.77

Percentile Distribution (Cost per Claim)

p10
$10.09
p25
$18.06
Median
$23.87
p75
$36.35
p90
$39.21
p95
$42.69
p99
$49.16

50% of providers bill between $18.06 and $36.35 per claim for this code.

90% bill between $10.09 and $39.21.

Top 1% bill above $49.16.

About This Procedure

HCPCS code A7001 was billed by 16 providers across 21K claims, totaling $632K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.87

Providers Billing

15

National Spending

$632K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7001

#ProviderTotal Paid
1Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$419K
21770998494$57K
31326140138$52K
41013934694$43K
51700877206$24K
61669449930$14K
71770527590$5K
81669546370$5K
91851328157$4K
101902829500$3K
111316364011$3K
121922046085$2K
131215997853$2K
141265422596$1K
151710978390$334
161164750840$0

Showing top 16 of 16 providers billing this code