A7509
HCPCS Procedure Code
HCPCS code A7509 is the #2,303 most-billed Medicaid procedure code, with $6.9M in payments across 62K claims from 2018–2024. The national median cost per claim is $33.05. Costs vary widely — the 90th percentile is $112.73 per claim, 3.4× the median.
Total Paid
$6.9M
0.00% of all spending
Total Claims
62K
Providers
42
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for A7509? Based on 41 providers billing this code nationally.
Median
$33.05
Average
$54.44
Std Dev
$55.87
Max
$246.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.71 and $78.52 per claim for this code.
90% bill between $2.37 and $112.73.
Top 1% bill above $233.16.
About This Procedure
HCPCS code A7509 was billed by 42 providers across 62K claims, totaling $6.9M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.05
Providers Billing
41
National Spending
$6.9M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A7509
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508885617 | $2.0M |
| 2 | 1922103142 | $1.6M |
| 3 | 1912923301 | $1.3M |
| 4 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $693K |
| 5 | 1093873598 | $334K |
| 6 | 1124125349 | $296K |
| 7 | 1275612673 | $214K |
| 8 | 1275733206 | $127K |
| 9 | 1164530630 | $123K |
| 10 | 1245383348 | $70K |
| 11 | 1558368589 | $55K |
| 12 | 1982606851 | $45K |
| 13 | 1073680799 | $28K |
| 14 | 1861592602 | $23K |
| 15 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $18K |
| 16 | 1669458790 | $16K |
| 17 | 1063452829 | $11K |
| 18 | 1154653236 | $10K |
| 19 | 1922046085 | $10K |
| 20 | 1700958196 | $9K |
Showing top 20 of 42 providers billing this code