A9575
HCPCS Procedure Code
HCPCS code A9575 is the #1,659 most-billed Medicaid procedure code, with $16.7M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $7.19. Costs vary widely — the 90th percentile is $39.57 per claim, 5.5× the median.
Total Paid
$16.7M
0.00% of all spending
Total Claims
1.0M
Providers
812
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for A9575? Based on 644 providers billing this code nationally.
Median
$7.19
Average
$16.71
Std Dev
$44.81
Max
$900.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.79 and $17.08 per claim for this code.
90% bill between $0.10 and $39.57.
Top 1% bill above $132.41.
About This Procedure
HCPCS code A9575 was billed by 812 providers across 1.0M claims, totaling $16.7M in Medicaid payments from 2018–2024. This code was used for 885K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.19
Providers Billing
644
National Spending
$16.7M
Avg/Median Ratio
2.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9575
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $4.0M |
| 2 | 1639278369 | $726K |
| 3 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $680K |
| 4 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $675K |
| 5 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $616K |
| 6 | Advanced Radiology P A Owings Mills, MD · Radiology Diagnostic Radiology | $563K |
| 7 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $515K |
| 8 | 1972004489 | $468K |
| 9 | 1477549756 | $445K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $380K |
| 11 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $338K |
| 12 | 1396707782 | $332K |
| 13 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $292K |
| 14 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $254K |
| 15 | 1730133893 | $210K |
| 16 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $183K |
| 17 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $183K |
| 18 | 1598707093 | $169K |
| 19 | 1841261989 | $165K |
| 20 | 1104145549 | $157K |
Showing top 20 of 812 providers billing this code