A7521
HCPCS Procedure Code
HCPCS code A7521 is the #1,435 most-billed Medicaid procedure code, with $23.4M in payments across 193K claims from 2018–2024. The national median cost per claim is $39.24. Costs vary widely — the 90th percentile is $165.92 per claim, 4.2× the median.
Total Paid
$23.4M
0.00% of all spending
Total Claims
193K
Providers
170
Avg Cost/Claim
$121
National Cost Distribution
How much do providers bill per claim for A7521? Based on 165 providers billing this code nationally.
Median
$39.24
Average
$76.39
Std Dev
$108.95
Max
$720.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.67 and $82.75 per claim for this code.
90% bill between $5.59 and $165.92.
Top 1% bill above $508.72.
About This Procedure
HCPCS code A7521 was billed by 170 providers across 193K claims, totaling $23.4M in Medicaid payments from 2018–2024. This code was used for 153K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.24
Providers Billing
165
National Spending
$23.4M
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A7521
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326607011 | $3.0M |
| 2 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $2.4M |
| 3 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $1.8M |
| 4 | 1538128293 | $1.8M |
| 5 | 1902137409 | $1.3M |
| 6 | 1497810048 | $1.2M |
| 7 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $965K |
| 8 | 1093873598 | $948K |
| 9 | 1275612673 | $784K |
| 10 | 1710978390 | $729K |
| 11 | 1235329228 | $722K |
| 12 | 1871738153 | $637K |
| 13 | 1134167646 | $617K |
| 14 | 1578999553 | $586K |
| 15 | Los Ninos Hospital Inc Phoenix, AZ · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $411K |
| 16 | 1811060544 | $326K |
| 17 | 1033289889 | $292K |
| 18 | 1285639914 | $245K |
| 19 | 1013952613 | $236K |
| 20 | 1477748119 | $207K |
Showing top 20 of 170 providers billing this code