#2192 of 11K

A0190

HCPCS Procedure Code

HCPCS code A0190 is the #2,192 most-billed Medicaid procedure code, with $8.0M in payments across 357K claims from 2018–2024. The national median cost per claim is $13.78. Costs vary widely — the 90th percentile is $69.93 per claim, 5.1× the median.

Total Paid

$8.0M

0.00% of all spending

Total Claims

357K

Providers

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for A0190? Based on 57 providers billing this code nationally.

Median

$13.78

Average

$27.05

Std Dev

$33.87

Max

$171.25

Percentile Distribution (Cost per Claim)

p10

$5.34

p25

$9.74

Median

$13.78

p75

$29.20

p90

$69.93

p95

$103.55

p99

$147.25

50% of providers bill between $9.74 and $29.20 per claim for this code.

90% bill between $5.34 and $69.93.

Top 1% bill above $147.25.

About This Procedure

HCPCS code A0190 was billed by 61 providers across 357K claims, totaling $8.0M in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.78

Providers Billing

National Spending

$8.0M

Avg/Median Ratio

1.96×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A0190

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1518406347	$3.0M	$98.16	7.1× median	Top 10%
2	Modivcare Solutions, Llc Denver, CO · Transportation Broker	$1.1M	$29.20	2.1× median	Above 75th
3	Access2care Llc Lake St Louis, MO · Transportation Broker	$617K	$40.43	2.9× median	Above 75th
4	1295273159	$540K	$103.43	7.5× median	Top 10%
5	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$463K	$32.17	2.3× median	Above 75th
6	1891822979	$457K	$79.30	5.8× median	Top 10%
7	1750590840	$271K	$104.06	7.6× median	Top 10%
8	Yukon-kuskokwim Health Corporation Bethel, AK · Physician Assistant	$209K	$29.70	2.2× median	Above 75th
9	1649658121	$207K	$171.25	12.4× median	Top 1%
10	1265641591	$195K	$24.42	1.8× median	Above Median
11	Intelliride Llc Lombard, IL · Transportation Broker	$186K	$31.61	2.3× median	Above 75th
12	1548215692	$159K	$128.40	9.3× median	Top 10%
13	Not Found Unknown, Unknown · Unknown	$150K	$44.73	3.2× median	Above 75th
14	1346752565	$94K	$2.72	0.2× median	Below Median
15	1720482433	$85K	$10.21	0.7× median	Below Median
16	1962688200	$44K	$6.42	0.5× median	Below Median
17	1801471883	$34K	$20.90	1.5× median	Above Median
18	1295193795	$22K	$41.54	3.0× median	Above 75th
19	A000004300	$18K	$12.01	0.9× median	Below Median
20	A000059100	$17K	$10.27	0.7× median	Below Median

Showing top 20 of 61 providers billing this code

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