#4956 of 11K

ATP02

HCPCS Procedure Code

HCPCS code ATP02 is the #4,956 most-billed Medicaid procedure code, with $341K in payments across 103K claims from 2018–2024. The national median cost per claim is $3.10.

Total Paid

$341K

0.00% of all spending

Total Claims

103K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for ATP02? Based on 73 providers billing this code nationally.

Median

$3.10

Average

$3.17

Std Dev

$1.26

Max

$5.60

Percentile Distribution (Cost per Claim)

p10

$1.38

p25

$2.31

Median

$3.10

p75

$3.88

p90

$5.31

p95

$5.40

p99

$5.49

50% of providers bill between $2.31 and $3.88 per claim for this code.

90% bill between $1.38 and $5.31.

Top 1% bill above $5.49.

About This Procedure

HCPCS code ATP02 was billed by 74 providers across 103K claims, totaling $341K in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.10

Providers Billing

National Spending

$341K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for ATP02

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$48K	$2.77	0.9× median	Below Median
2	1124024922	$24K	$5.20	1.7× median	Above 75th
3	1568488450	$21K	$2.80	0.9× median	Below Median
4	North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital	$19K	$4.20	1.4× median	Above 75th
5	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$18K	$3.97	1.3× median	Above 75th
6	Children's Hospital Corporation Boston, MA · Clinic/Center	$17K	$4.22	1.4× median	Above 75th
7	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$14K	$3.42	1.1× median	Above Median
8	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$13K	$3.92	1.3× median	Above 75th
9	Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital	$13K	$2.98	1.0× median	Below Median
10	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$11K	$3.82	1.2× median	Above Median
11	1013220151	$11K	$5.45	1.8× median	Top 10%
12	Brockton Hospital, Inc. Brockton, MA · General Acute Care Hospital	$8K	$3.31	1.1× median	Above Median
13	1306871223	$7K	$3.95	1.3× median	Above 75th
14	1942226006	$7K	$2.93	0.9× median	Below Median
15	1659418986	$7K	$5.40	1.7× median	Top 10%
16	1750381281	$6K	$3.72	1.2× median	Above Median
17	1033421664	$6K	$2.80	0.9× median	Below Median
18	Holyoke Medical Center, Inc. Holyoke, MA · Clinic/Center, Adult Mental Health	$6K	$2.66	0.9× median	Below Median
19	Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital	$6K	$3.88	1.3× median	Above Median
20	1881906337	$6K	$2.77	0.9× median	Below Median

Showing top 20 of 74 providers billing this code

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