A5073
HCPCS Procedure Code
HCPCS code A5073 is the #4,896 most-billed Medicaid procedure code, with $360K in payments across 11K claims from 2018–2024. The national median cost per claim is $28.30. Costs vary widely — the 90th percentile is $72.62 per claim, 2.6× the median.
Total Paid
$360K
0.00% of all spending
Total Claims
11K
Providers
10
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for A5073? Based on 10 providers billing this code nationally.
Median
$28.30
Average
$36.20
Std Dev
$19.50
Max
$73.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.03 and $31.12 per claim for this code.
90% bill between $22.97 and $72.62.
Top 1% bill above $72.99.
About This Procedure
HCPCS code A5073 was billed by 10 providers across 11K claims, totaling $360K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.30
Providers Billing
10
National Spending
$360K
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5073
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $88K |
| 2 | 1710932173 | $83K |
| 3 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $71K |
| 4 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $59K |
| 5 | 1962440891 | $30K |
| 6 | 1568083087 | $17K |
| 7 | 1881698439 | $4K |
| 8 | 1992891238 | $4K |
| 9 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $3K |
| 10 | 1205837879 | $2K |
Showing top 10 of 10 providers billing this code