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#3416 of 11K

ATP03

HCPCS Procedure Code

HCPCS code ATP03 is the #3,416 most-billed Medicaid procedure code, with $1.7M in payments across 487K claims from 2018–2024. The national median cost per claim is $3.59.

Total Paid

$1.7M

0.00% of all spending

Total Claims

487K

Providers

127

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for ATP03? Based on 126 providers billing this code nationally.

Median

$3.59

Average

$3.68

Std Dev

$2.06

Max

$6.95

Percentile Distribution (Cost per Claim)

p10
$0.95
p25
$2.15
Median
$3.59
p75
$5.30
p90
$6.85
p95
$6.85
p99
$6.94

50% of providers bill between $2.15 and $5.30 per claim for this code.

90% bill between $0.95 and $6.85.

Top 1% bill above $6.94.

About This Procedure

HCPCS code ATP03 was billed by 127 providers across 487K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 449K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.59

Providers Billing

126

National Spending

$1.7M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for ATP03

#ProviderTotal Paid
1Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$593K
2North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$95K
3Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$95K
4The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$91K
5Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$60K
61891112637$47K
71750381281$47K
8Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$45K
91265422596$44K
101568488450$42K
111821349317$39K
12Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$36K
131790780047$26K
14Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$26K
15Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$25K
16Holyoke Medical Center, Inc.

Holyoke, MA · Clinic/Center, Adult Mental Health

$24K
171689670259$23K
181205823879$21K
19Children's Hospital Corporation

Boston, MA · Clinic/Center

$19K
201942226006$18K

Showing top 20 of 127 providers billing this code