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#1602 of 11K

A7507

HCPCS Procedure Code

HCPCS code A7507 is the #1,602 most-billed Medicaid procedure code, with $18.0M in payments across 224K claims from 2018–2024. The national median cost per claim is $59.66.

Total Paid

$18.0M

0.00% of all spending

Total Claims

224K

Providers

106

Avg Cost/Claim

$80

National Cost Distribution

How much do providers bill per claim for A7507? Based on 104 providers billing this code nationally.

Median

$59.66

Average

$65.27

Std Dev

$35.22

Max

$165.71

Percentile Distribution (Cost per Claim)

p10
$22.64
p25
$44.45
Median
$59.66
p75
$88.61
p90
$112.53
p95
$131.11
p99
$159.57

50% of providers bill between $44.45 and $88.61 per claim for this code.

90% bill between $22.64 and $112.53.

Top 1% bill above $159.57.

About This Procedure

HCPCS code A7507 was billed by 106 providers across 224K claims, totaling $18.0M in Medicaid payments from 2018–2024. This code was used for 179K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.66

Providers Billing

104

National Spending

$18.0M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7507

#ProviderTotal Paid
11962452755$4.1M
21902137409$3.7M
3Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$1.3M
41285803775$601K
51235329228$556K
61871738153$467K
71174505549$420K
81710978390$413K
91720244296$408K
101083615991$352K
111548360464$324K
12The Promptcare Companies, Inc.

King Of Prussia, PA · Durable Medical Equipment & Medical Supplies

$320K
131366747800$274K
141306961792$259K
151326140138$238K
161861480048$231K
17Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$223K
18Integra Partners Llc

Troy, MI · Orthotic Fitter

$210K
191992897656$206K
201780663823$202K

Showing top 20 of 106 providers billing this code