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#1190 of 11K

A6550

HCPCS Procedure Code

HCPCS code A6550 is the #1,190 most-billed Medicaid procedure code, with $34.4M in payments across 332K claims from 2018–2024. The national median cost per claim is $93.00.

Total Paid

$34.4M

0.00% of all spending

Total Claims

332K

Providers

124

Avg Cost/Claim

$103

National Cost Distribution

How much do providers bill per claim for A6550? Based on 122 providers billing this code nationally.

Median

$93.00

Average

$102.65

Std Dev

$66.22

Max

$377.95

Percentile Distribution (Cost per Claim)

p10
$29.65
p25
$57.42
Median
$93.00
p75
$134.72
p90
$171.70
p95
$199.41
p99
$356.62

50% of providers bill between $57.42 and $134.72 per claim for this code.

90% bill between $29.65 and $171.70.

Top 1% bill above $356.62.

About This Procedure

HCPCS code A6550 was billed by 124 providers across 332K claims, totaling $34.4M in Medicaid payments from 2018–2024. This code was used for 226K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$93.00

Providers Billing

122

National Spending

$34.4M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6550

#ProviderTotal Paid
11437146594$1.8M
21124015086$1.6M
31720075906$1.4M
41487641445$1.3M
51447332572$1.3M
61093702284$1.2M
71760479885$1.1M
81386631323$1.1M
91073500161$1.1M
101033106216$1.0M
111346237542$948K
121720075781$862K
13H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$849K
141437146578$819K
151801884952$780K
161033106075$761K
171073500138$754K
181669469896$628K
191033106067$609K
201184611311$593K

Showing top 20 of 124 providers billing this code