A9555
HCPCS Procedure Code
HCPCS code A9555 is the #2,080 most-billed Medicaid procedure code, with $9.3M in payments across 60K claims from 2018–2024. The national median cost per claim is $89.11. Costs vary widely — the 90th percentile is $306.81 per claim, 3.4× the median.
Total Paid
$9.3M
0.00% of all spending
Total Claims
60K
Providers
136
Avg Cost/Claim
$156
National Cost Distribution
How much do providers bill per claim for A9555? Based on 103 providers billing this code nationally.
Median
$89.11
Average
$169.01
Std Dev
$326.09
Max
$2,948.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.71 and $195.80 per claim for this code.
90% bill between $4.03 and $306.81.
Top 1% bill above $920.39.
About This Procedure
HCPCS code A9555 was billed by 136 providers across 60K claims, totaling $9.3M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.11
Providers Billing
103
National Spending
$9.3M
Avg/Median Ratio
1.90×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A9555
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730137480 | $1.9M |
| 2 | 1336147859 | $973K |
| 3 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $749K |
| 4 | 1609907005 | $704K |
| 5 | 1063851335 | $599K |
| 6 | 1144265547 | $495K |
| 7 | 1770830606 | $394K |
| 8 | 1194723601 | $318K |
| 9 | 1356398713 | $312K |
| 10 | 1538244918 | $295K |
| 11 | 1346433059 | $249K |
| 12 | 1144262593 | $204K |
| 13 | 1750846614 | $186K |
| 14 | 1255382545 | $166K |
| 15 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $135K |
| 16 | 1245218619 | $116K |
| 17 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $100K |
| 18 | 1841898293 | $94K |
| 19 | 1831248236 | $87K |
| 20 | 1063886323 | $83K |
Showing top 20 of 136 providers billing this code