#1185 of 11K

A0200

HCPCS Procedure Code

HCPCS code A0200 is the #1,185 most-billed Medicaid procedure code, with $34.6M in payments across 72K claims from 2018–2024. The national median cost per claim is $122.06. Costs vary widely — the 90th percentile is $757.39 per claim, 6.2× the median.

Total Paid

$34.6M

0.00% of all spending

Total Claims

72K

Providers

Avg Cost/Claim

$478

National Cost Distribution

How much do providers bill per claim for A0200? Based on 35 providers billing this code nationally.

Median

$122.06

Average

$289.48

Std Dev

$378.53

Max

$1,592.15

Percentile Distribution (Cost per Claim)

p10

$45.19

p25

$56.49

Median

$122.06

p75

$384.60

p90

$757.39

p95

$1,009.20

p99

$1,501.39

50% of providers bill between $56.49 and $384.60 per claim for this code.

90% bill between $45.19 and $757.39.

Top 1% bill above $1,501.39.

About This Procedure

HCPCS code A0200 was billed by 39 providers across 72K claims, totaling $34.6M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$122.06

Providers Billing

National Spending

$34.6M

Avg/Median Ratio

2.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A0200

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1518406347	$16.6M	$777.33	6.4× median	Top 10%
2	1942668439	$4.0M	$666.59	5.5× median	Above 75th
3	1891822979	$2.8M	$508.09	4.2× median	Above 75th
4	1720484108	$2.3M	$1,325.19	10.9× median	Top 10%
5	1750590840	$2.0M	$873.78	7.2× median	Top 10%
6	1437519840	$1.5M	$408.47	3.3× median	Above 75th
7	Yukon-kuskokwim Health Corporation Bethel, AK · Physician Assistant	$1.4M	$269.55	2.2× median	Above Median
8	1407575061	$982K	$1,592.15	13.0× median	Top 1%
9	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$893K	$153.54	1.3× median	Above Median
10	Access2care Llc Lake St Louis, MO · Transportation Broker	$770K	$141.50	1.2× median	Above Median
11	1265641591	$492K	$194.18	1.6× median	Above Median
12	Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker	$194K	$89.00	0.7× median	Below Median
13	1467850495	$144K	$91.27	0.7× median	Below Median
14	1235371451	$124K	$147.83	1.2× median	Above Median
15	Intelliride Llc Lombard, IL · Transportation Broker	$85K	$52.72	0.4× median	Below Median
16	1710126008	$66K	$360.73	3.0× median	Above Median
17	1316544893	$64K	$145.72	1.2× median	Above Median
18	1043465610	$44K	$60.73	0.5× median	Below Median
19	1235562745	$41K	$51.55	0.4× median	Below Median
20	1346297843	$34K	$24.38	0.2× median	Below Median

Showing top 20 of 39 providers billing this code

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