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#4152 of 11K

ATP07

HCPCS Procedure Code

HCPCS code ATP07 is the #4,152 most-billed Medicaid procedure code, with $803K in payments across 165K claims from 2018–2024. The national median cost per claim is $4.79.

Total Paid

$803K

0.00% of all spending

Total Claims

165K

Providers

72

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for ATP07? Based on 69 providers billing this code nationally.

Median

$4.79

Average

$4.59

Std Dev

$1.96

Max

$8.43

Percentile Distribution (Cost per Claim)

p10
$2.18
p25
$2.81
Median
$4.79
p75
$5.99
p90
$6.98
p95
$7.34
p99
$8.43

50% of providers bill between $2.81 and $5.99 per claim for this code.

90% bill between $2.18 and $6.98.

Top 1% bill above $8.43.

About This Procedure

HCPCS code ATP07 was billed by 72 providers across 165K claims, totaling $803K in Medicaid payments from 2018–2024. This code was used for 148K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.79

Providers Billing

69

National Spending

$803K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for ATP07

#ProviderTotal Paid
1Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$81K
2The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$72K
3Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$71K
4Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$58K
5Children's Hospital Corporation

Boston, MA · Clinic/Center

$46K
6North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$42K
7Holyoke Medical Center, Inc.

Holyoke, MA · Clinic/Center, Adult Mental Health

$38K
81508867391$35K
9Tufts Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$34K
10Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$33K
111770020018$31K
12Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$29K
131568488450$26K
141962410233$21K
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$18K
161659322360$13K
17Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$12K
181700816048$11K
191861404121$9K
201316917941$9K

Showing top 20 of 72 providers billing this code