A9540
HCPCS Procedure Code
HCPCS code A9540 is the #7,044 most-billed Medicaid procedure code, with $30K in payments across 5K claims from 2018–2024. The national median cost per claim is $10.89. Costs vary widely — the 90th percentile is $54.67 per claim, 5.0× the median.
Total Paid
$30K
0.00% of all spending
Total Claims
5K
Providers
44
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for A9540? Based on 23 providers billing this code nationally.
Median
$10.89
Average
$18.60
Std Dev
$23.43
Max
$86.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.75 and $25.63 per claim for this code.
90% bill between $1.49 and $54.67.
Top 1% bill above $82.63.
About This Procedure
HCPCS code A9540 was billed by 44 providers across 5K claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.89
Providers Billing
23
National Spending
$30K
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A9540
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134194038 | $8K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $7K |
| 3 | 1144274317 | $4K |
| 4 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $2K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $2K |
| 6 | 1427055821 | $2K |
| 7 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $2K |
| 8 | 1437119310 | $907 |
| 9 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $571 |
| 10 | 1710109186 | $445 |
| 11 | 1235134024 | $305 |
| 12 | 1780681189 | $291 |
| 13 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $284 |
| 14 | 1821099474 | $258 |
| 15 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $227 |
| 16 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $181 |
| 17 | 1366097032 | $158 |
| 18 | 1134102080 | $75 |
| 19 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $54 |
| 20 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $42 |
Showing top 20 of 44 providers billing this code