#1923 of 11K

A6010

HCPCS Procedure Code

HCPCS code A6010 is the #1,923 most-billed Medicaid procedure code, with $11.5M in payments across 126K claims from 2018–2024. The national median cost per claim is $131.56. Costs vary widely — the 90th percentile is $413.95 per claim, 3.1× the median.

Total Paid

$11.5M

0.00% of all spending

Total Claims

126K

Providers

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for A6010? Based on 54 providers billing this code nationally.

Median

$131.56

Average

$203.93

Std Dev

$281.30

Max

$1,823.12

Percentile Distribution (Cost per Claim)

p10

$20.12

p25

$47.23

Median

$131.56

p75

$229.07

p90

$413.95

p95

$505.94

p99

$1,348.82

50% of providers bill between $47.23 and $229.07 per claim for this code.

90% bill between $20.12 and $413.95.

Top 1% bill above $1,348.82.

About This Procedure

HCPCS code A6010 was billed by 59 providers across 126K claims, totaling $11.5M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$131.56

Providers Billing

National Spending

$11.5M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A6010

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1013124213	$5.3M	$77.94	0.6× median	Below Median
2	1730397175	$1.3M	$97.38	0.7× median	Below Median
3	1376916379	$1000K	$120.46	0.9× median	Below Median
4	1710452701	$758K	$81.56	0.6× median	Below Median
5	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$425K	$214.64	1.6× median	Above Median
6	1225413743	$381K	$129.63	1.0× median	Below Median
7	1548367063	$314K	$159.80	1.2× median	Above Median
8	1992162911	$244K	$95.41	0.7× median	Below Median
9	1245274463	$227K	$928.20	7.1× median	Top 10%
10	1518478478	$177K	$154.33	1.2× median	Above Median
11	1508107764	$142K	$164.84	1.3× median	Above Median
12	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$141K	$221.54	1.7× median	Above Median
13	1033436746	$134K	$122.29	0.9× median	Below Median
14	1063771798	$125K	$42.08	0.3× median	Below Median
15	1235671389	$110K	$462.65	3.5× median	Top 10%
16	1942251848	$98K	$583.10	4.4× median	Top 10%
17	1760564181	$77K	$1,823.12	13.9× median	Top 1%
18	1063848968	$62K	$53.24	0.4× median	Below Median
19	1154042950	$56K	$133.49	1.0× median	Above Median
20	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$55K	$190.97	1.5× median	Above Median

Showing top 20 of 59 providers billing this code

Related Procedures

A6011$26K

← All procedures Top providers →