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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $419K |
| 2 | 1770998494 | $57K |
| 3 | 1326140138 | $52K |
| 4 | 1013934694 | $43K |
| 5 | 1700877206 | $24K |
| 6 | 1669449930 | $14K |
| 7 | 1770527590 | $5K |
| 8 | 1669546370 | $5K |
| 9 | 1851328157 | $4K |
| 10 | 1902829500 | $3K |
| 11 | 1316364011 | $3K |
| 12 | 1922046085 | $2K |
| 13 | 1215997853 | $2K |
| 14 | 1265422596 | $1K |
| 15 | 1710978390 | $334 |
| 16 | 1164750840 | $0 |
Showing top 16 of 16 providers billing this code