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#4408 of 11K

ATP09

HCPCS Procedure Code

HCPCS code ATP09 is the #4,408 most-billed Medicaid procedure code, with $609K in payments across 118K claims from 2018–2024. The national median cost per claim is $5.07.

Total Paid

$609K

0.00% of all spending

Total Claims

118K

Providers

63

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for ATP09? Based on 61 providers billing this code nationally.

Median

$5.07

Average

$4.68

Std Dev

$1.87

Max

$9.10

Percentile Distribution (Cost per Claim)

p10
$2.07
p25
$3.03
Median
$5.07
p75
$5.74
p90
$6.67
p95
$7.79
p99
$8.55

50% of providers bill between $3.03 and $5.74 per claim for this code.

90% bill between $2.07 and $6.67.

Top 1% bill above $8.55.

About This Procedure

HCPCS code ATP09 was billed by 63 providers across 118K claims, totaling $609K in Medicaid payments from 2018–2024. This code was used for 92K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.07

Providers Billing

61

National Spending

$609K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for ATP09

#ProviderTotal Paid
1The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$67K
2Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$55K
3Children's Hospital Corporation

Boston, MA · Clinic/Center

$50K
41538131214$49K
5Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$44K
6North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$41K
7Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$34K
8Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$31K
9Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$25K
10Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$22K
11Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$22K
121013220151$21K
13Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$15K
14Tufts Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$15K
15Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$10K
161568488450$10K
171659322360$8K
18Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$7K
19Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$7K
201578677811$6K

Showing top 20 of 63 providers billing this code