ATP11
HCPCS Procedure Code
HCPCS code ATP11 is the #4,125 most-billed Medicaid procedure code, with $828K in payments across 169K claims from 2018–2024. The national median cost per claim is $5.10.
Total Paid
$828K
0.00% of all spending
Total Claims
169K
Providers
81
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for ATP11? Based on 77 providers billing this code nationally.
Median
$5.10
Average
$4.72
Std Dev
$2.34
Max
$9.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.59 and $6.30 per claim for this code.
90% bill between $1.41 and $7.66.
Top 1% bill above $9.19.
About This Procedure
HCPCS code ATP11 was billed by 81 providers across 169K claims, totaling $828K in Medicaid payments from 2018–2024. This code was used for 156K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.10
Providers Billing
77
National Spending
$828K
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for ATP11
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $169K |
| 2 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $72K |
| 3 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $66K |
| 4 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $61K |
| 5 | 1568488450 | $54K |
| 6 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $42K |
| 7 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $38K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $30K |
| 9 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $28K |
| 10 | 1508867391 | $24K |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $23K |
| 12 | 1689670259 | $20K |
| 13 | 1962410233 | $16K |
| 14 | 1912924705 | $15K |
| 15 | 1477527497 | $15K |
| 16 | 1750381281 | $13K |
| 17 | 1992737761 | $8K |
| 18 | Holyoke Medical Center, Inc. Holyoke, MA · Clinic/Center, Adult Mental Health | $7K |
| 19 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $7K |
| 20 | 1316985344 | $7K |
Showing top 20 of 81 providers billing this code