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#4875 of 11K

A9573

HCPCS Procedure Code

HCPCS code A9573 is the #4,875 most-billed Medicaid procedure code, with $366K in payments across 26K claims from 2018–2024. The national median cost per claim is $19.63. Costs vary widely — the 90th percentile is $50.46 per claim, 2.6× the median.

Total Paid

$366K

0.00% of all spending

Total Claims

26K

Providers

78

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for A9573? Based on 41 providers billing this code nationally.

Median

$19.63

Average

$28.37

Std Dev

$35.37

Max

$189.23

Percentile Distribution (Cost per Claim)

p10
$0.18
p25
$5.51
Median
$19.63
p75
$36.26
p90
$50.46
p95
$61.89
p99
$165.15

50% of providers bill between $5.51 and $36.26 per claim for this code.

90% bill between $0.18 and $50.46.

Top 1% bill above $165.15.

About This Procedure

HCPCS code A9573 was billed by 78 providers across 26K claims, totaling $366K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.63

Providers Billing

41

National Spending

$366K

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9573

#ProviderTotal Paid
1University Of Rochester

Rochester, NY · General Acute Care Hospital

$74K
2Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$53K
3University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$49K
4Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$47K
5U Of R Neurology Department

Rochester, NY · Psychiatry & Neurology Neurology

$24K
6Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$17K
71720017528$15K
81972548568$14K
91487995700$13K
101467442749$10K
11United Health Services Hospitals, Inc.

Binghamton, NY · General Acute Care Hospital

$7K
12Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$5K
13Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$5K
141962442012$5K
151194776351$4K
16Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$3K
171912288432$3K
181730264128$3K
191083759633$3K
201134178346$2K

Showing top 20 of 78 providers billing this code