A7037
HCPCS Procedure Code
HCPCS code A7037 is the #1,032 most-billed Medicaid procedure code, with $46.9M in payments across 4.0M claims from 2018–2024. The national median cost per claim is $10.56. Costs vary widely — the 90th percentile is $21.50 per claim, 2.0× the median.
Total Paid
$46.9M
0.00% of all spending
Total Claims
4.0M
Providers
3K
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A7037? Based on 3K providers billing this code nationally.
Median
$10.56
Average
$11.78
Std Dev
$7.06
Max
$49.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.59 and $16.15 per claim for this code.
90% bill between $3.60 and $21.50.
Top 1% bill above $31.70.
About This Procedure
HCPCS code A7037 was billed by 3K providers across 4.0M claims, totaling $46.9M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.56
Providers Billing
3K
National Spending
$46.9M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7037
| # | Provider | Total Paid |
|---|---|---|
| 1 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $1.6M |
| 2 | 1851328157 | $529K |
| 3 | 1164612040 | $496K |
| 4 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $493K |
| 5 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $442K |
| 6 | 1205995164 | $435K |
| 7 | 1003884149 | $425K |
| 8 | 1700119559 | $415K |
| 9 | 1760542641 | $390K |
| 10 | 1396851184 | $387K |
| 11 | 1336166347 | $342K |
| 12 | Integra Partners Llc Troy, MI · Orthotic Fitter | $335K |
| 13 | 1295823508 | $288K |
| 14 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $251K |
| 15 | 1013915933 | $227K |
| 16 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $221K |
| 17 | 1952356735 | $220K |
| 18 | 1902098965 | $217K |
| 19 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $211K |
| 20 | 1184685653 | $209K |
Showing top 20 of 3K providers billing this code