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#6531 of 11K

A9520

HCPCS Procedure Code

HCPCS code A9520 is the #6,531 most-billed Medicaid procedure code, with $58K in payments across 441 claims from 2018–2024. The national median cost per claim is $278.26.

Total Paid

$58K

0.00% of all spending

Total Claims

441

Providers

5

Avg Cost/Claim

$131

National Cost Distribution

How much do providers bill per claim for A9520? Based on 3 providers billing this code nationally.

Median

$278.26

Average

$201.70

Std Dev

$172.33

Max

$322.48

Percentile Distribution (Cost per Claim)

p10
$59.13
p25
$141.30
Median
$278.26
p75
$300.37
p90
$313.64
p95
$318.06
p99
$321.60

50% of providers bill between $141.30 and $300.37 per claim for this code.

90% bill between $59.13 and $313.64.

Top 1% bill above $321.60.

About This Procedure

HCPCS code A9520 was billed by 5 providers across 441 claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 416 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$278.26

Providers Billing

3

National Spending

$58K

Avg/Median Ratio

0.72×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9520

#ProviderTotal Paid
1Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$50K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$8K
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$730
41508913609$0
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0

Showing top 5 of 5 providers billing this code