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#874 of 11K

A9150

Non-prescription drug or biological supply

Non-prescription drug or biological supply is the #874 most-billed Medicaid procedure code, with $64.4M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $7.16. Costs vary widely — the 90th percentile is $45.93 per claim, 6.4× the median.

Total Paid

$64.4M

0.01% of all spending

Total Claims

1.2M

Providers

425

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for A9150? Based on 265 providers billing this code nationally.

Median

$7.16

Average

$26.04

Std Dev

$68.78

Max

$674.62

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.16
Median
$7.16
p75
$22.31
p90
$45.93
p95
$106.91
p99
$289.57

50% of providers bill between $0.16 and $22.31 per claim for this code.

90% bill between $0.01 and $45.93.

Top 1% bill above $289.57.

About This Procedure

HCPCS code A9150 (Non-prescription drug or biological supply) was billed by 425 providers across 1.2M claims, totaling $64.4M in Medicaid payments from 2018–2024. This code was used for 656K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.16

Providers Billing

265

National Spending

$64.4M

Avg/Median Ratio

3.64×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A9150

#ProviderTotal Paid
11467560599$14.4M
21972541498$12.6M
31356389878$6.5M
4The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$6.3M
51487694857$6.1M
61234567893$3.5M
71083732853$1.9M
81316061997$1.4M
91659361392$1.3M
101013169598$1.1M
111932213923$945K
121194840421$829K
131114081056$598K
141043707987$585K
151174667158$545K
161477610640$429K
171750804514$376K
181316329634$366K
191063781920$341K
201699840033$287K

Showing top 20 of 425 providers billing this code

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