#4161 of 11K

A7007

Large volume nebulizer, disposable, unfilled

Large volume nebulizer, disposable, unfilled is the #4,161 most-billed Medicaid procedure code, with $795K in payments across 157K claims from 2018–2024. The national median cost per claim is $4.18.

Total Paid

$795K

0.00% of all spending

Total Claims

157K

Providers

141

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for A7007? Based on 140 providers billing this code nationally.

Median

$4.18

Average

$4.74

Std Dev

$2.42

Max

$13.87

Percentile Distribution (Cost per Claim)

p10

$2.34

p25

$3.05

Median

$4.18

p75

$6.02

p90

$8.11

p95

$9.16

p99

$12.19

50% of providers bill between $3.05 and $6.02 per claim for this code.

90% bill between $2.34 and $8.11.

Top 1% bill above $12.19.

About This Procedure

HCPCS code A7007 (Large volume nebulizer, disposable, unfilled) was billed by 141 providers across 157K claims, totaling $795K in Medicaid payments from 2018–2024. This code was used for 129K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.18

Providers Billing

140

National Spending

$795K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7007

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1861480048	$65K	$8.08	1.9× median	Above 75th
2	1083615991	$55K	$7.11	1.7× median	Above 75th
3	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$52K	$4.56	1.1× median	Above Median
4	1871738153	$46K	$8.96	2.1× median	Top 10%
5	1770581498	$42K	$11.95	2.9× median	Top 10%
6	1538128293	$39K	$6.28	1.5× median	Above 75th
7	1073692794	$25K	$9.38	2.2× median	Top 10%
8	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$25K	$4.50	1.1× median	Above Median
9	1922103142	$22K	$5.44	1.3× median	Above Median
10	Integra Partners Llc Troy, MI · Orthotic Fitter	$20K	$2.72	0.7× median	Below Median
11	1376620815	$19K	$7.45	1.8× median	Above 75th
12	1902098965	$17K	$7.08	1.7× median	Above 75th
13	1437223500	$16K	$2.48	0.6× median	Below Median
14	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$13K	$5.96	1.4× median	Above Median
15	1013915933	$12K	$4.08	1.0× median	Below Median
16	1093873598	$11K	$5.42	1.3× median	Above Median
17	1619909496	$11K	$7.67	1.8× median	Above 75th
18	1548360464	$11K	$3.78	0.9× median	Below Median
19	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$11K	$3.16	0.8× median	Below Median
20	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$10K	$4.91	1.2× median	Above Median

Showing top 20 of 141 providers billing this code

Related Procedures

A7005$36.0M A7000$32.3M A7002$10.7M A7003Administration set for nebulizer, with small volume$6.6M A7015$3.1M

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