A7520
HCPCS Procedure Code
HCPCS code A7520 is the #1,056 most-billed Medicaid procedure code, with $45.2M in payments across 476K claims from 2018–2024. The national median cost per claim is $49.59. Costs vary widely — the 90th percentile is $127.11 per claim, 2.6× the median.
Total Paid
$45.2M
0.00% of all spending
Total Claims
476K
Providers
266
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for A7520? Based on 264 providers billing this code nationally.
Median
$49.59
Average
$67.59
Std Dev
$67.74
Max
$644.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.91 and $75.49 per claim for this code.
90% bill between $20.89 and $127.11.
Top 1% bill above $343.80.
About This Procedure
HCPCS code A7520 was billed by 266 providers across 476K claims, totaling $45.2M in Medicaid payments from 2018–2024. This code was used for 397K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.59
Providers Billing
264
National Spending
$45.2M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7520
| # | Provider | Total Paid |
|---|---|---|
| 1 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $6.0M |
| 2 | 1922103142 | $2.7M |
| 3 | 1326607011 | $2.3M |
| 4 | 1912923301 | $1.7M |
| 5 | 1538128293 | $1.6M |
| 6 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $1.4M |
| 7 | 1902137409 | $1.3M |
| 8 | 1861480048 | $1.2M |
| 9 | 1093873598 | $1.1M |
| 10 | 1871738153 | $1.0M |
| 11 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $994K |
| 12 | 1093761611 | $907K |
| 13 | 1477748119 | $903K |
| 14 | 1962452755 | $877K |
| 15 | 1811990302 | $853K |
| 16 | 1073692794 | $753K |
| 17 | Los Ninos Hospital Inc Phoenix, AZ · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $734K |
| 18 | 1083615991 | $593K |
| 19 | 1275612673 | $583K |
| 20 | 1316364011 | $551K |
Showing top 20 of 266 providers billing this code