Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2678 of 11K

ATP15

HCPCS Procedure Code

HCPCS code ATP15 is the #2,678 most-billed Medicaid procedure code, with $4.2M in payments across 584K claims from 2018–2024. The national median cost per claim is $6.66.

Total Paid

$4.2M

0.00% of all spending

Total Claims

584K

Providers

104

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for ATP15? Based on 103 providers billing this code nationally.

Median

$6.66

Average

$6.33

Std Dev

$2.67

Max

$11.34

Percentile Distribution (Cost per Claim)

p10
$2.26
p25
$4.47
Median
$6.66
p75
$8.19
p90
$9.01
p95
$10.66
p99
$11.33

50% of providers bill between $4.47 and $8.19 per claim for this code.

90% bill between $2.26 and $9.01.

Top 1% bill above $11.33.

About This Procedure

HCPCS code ATP15 was billed by 104 providers across 584K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 474K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.66

Providers Billing

103

National Spending

$4.2M

Avg/Median Ratio

0.95×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for ATP15

#ProviderTotal Paid
1The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$523K
2Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$312K
3North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$310K
4Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$202K
5Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$166K
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$138K
71114984671$133K
81992737761$129K
91578677811$120K
10Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$119K
111477596310$109K
12Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$106K
131477527497$96K
14Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$91K
15Holyoke Medical Center, Inc.

Holyoke, MA · Clinic/Center, Adult Mental Health

$82K
161568488450$75K
171316917941$73K
181881906337$68K
191760598700$68K
201730106162$65K

Showing top 20 of 104 providers billing this code