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#2277 of 11K

A7039

HCPCS Procedure Code

HCPCS code A7039 is the #2,277 most-billed Medicaid procedure code, with $7.2M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $4.54.

Total Paid

$7.2M

0.00% of all spending

Total Claims

1.4M

Providers

1K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for A7039? Based on 1K providers billing this code nationally.

Median

$4.54

Average

$5.05

Std Dev

$3.50

Max

$44.56

Percentile Distribution (Cost per Claim)

p10
$1.55
p25
$2.97
Median
$4.54
p75
$6.57
p90
$8.68
p95
$10.27
p99
$15.42

50% of providers bill between $2.97 and $6.57 per claim for this code.

90% bill between $1.55 and $8.68.

Top 1% bill above $15.42.

About This Procedure

HCPCS code A7039 was billed by 1K providers across 1.4M claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.54

Providers Billing

1K

National Spending

$7.2M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7039

#ProviderTotal Paid
1Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$180K
21396851184$166K
31922046085$162K
41801129135$154K
5Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$131K
61134303902$102K
71952356735$83K
81154338184$74K
91003154352$74K
101073551446$69K
111033142484$65K
121003884149$62K
131134122047$60K
141245221092$58K
151760452742$57K
161639354368$57K
171700119559$55K
181336166347$55K
19Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$55K
201043276819$49K

Showing top 20 of 1K providers billing this code