A7031
HCPCS Procedure Code
HCPCS code A7031 is the #543 most-billed Medicaid procedure code, with $155.5M in payments across 5.5M claims from 2018–2024. The national median cost per claim is $25.17.
Total Paid
$155.5M
0.01% of all spending
Total Claims
5.5M
Providers
3K
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for A7031? Based on 3K providers billing this code nationally.
Median
$25.17
Average
$27.04
Std Dev
$14.77
Max
$191.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.48 and $33.62 per claim for this code.
90% bill between $11.52 and $42.71.
Top 1% bill above $73.74.
About This Procedure
HCPCS code A7031 was billed by 3K providers across 5.5M claims, totaling $155.5M in Medicaid payments from 2018–2024. This code was used for 4.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.17
Providers Billing
3K
National Spending
$155.5M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7031
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396851184 | $2.4M |
| 2 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $2.1M |
| 3 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $2.0M |
| 4 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $1.9M |
| 5 | 1891275590 | $1.8M |
| 6 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $1.8M |
| 7 | 1659361947 | $1.6M |
| 8 | 1962426122 | $1.5M |
| 9 | 1730182023 | $1.3M |
| 10 | 1003154352 | $1.3M |
| 11 | 1134303902 | $1.3M |
| 12 | 1245221092 | $1.3M |
| 13 | 1720387624 | $1.1M |
| 14 | 1134120074 | $1.1M |
| 15 | 1164827531 | $1.1M |
| 16 | 1568465938 | $952K |
| 17 | 1952356735 | $893K |
| 18 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $888K |
| 19 | 1134122047 | $860K |
| 20 | 1831289826 | $794K |
Showing top 20 of 3K providers billing this code