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#1659 of 11K

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)

p10
$0.10
p25
$0.79
Median
$7.19
p75
$17.08
p90
$39.57
p95
$56.21
p99
$132.41

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

#ProviderTotal Paid
1Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$4.0M
21639278369$726K
3Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$680K
4Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$675K
5The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$616K
6Advanced Radiology P A

Owings Mills, MD · Radiology Diagnostic Radiology

$563K
7Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$515K
81972004489$468K
91477549756$445K
10Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$380K
11Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$338K
121396707782$332K
13Tufts Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$292K
14New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$254K
151730133893$210K
16Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$183K
17Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$183K
181598707093$169K
191841261989$165K
201104145549$157K

Showing top 20 of 812 providers billing this code