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#1478 of 11K

A9502

HCPCS Procedure Code

HCPCS code A9502 is the #1,478 most-billed Medicaid procedure code, with $21.8M in payments across 448K claims from 2018–2024. The national median cost per claim is $54.60. Costs vary widely — the 90th percentile is $156.74 per claim, 2.9× the median.

Total Paid

$21.8M

0.00% of all spending

Total Claims

448K

Providers

825

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for A9502? Based on 676 providers billing this code nationally.

Median

$54.60

Average

$79.21

Std Dev

$143.01

Max

$2,461.93

Percentile Distribution (Cost per Claim)

p10
$1.31
p25
$16.14
Median
$54.60
p75
$102.22
p90
$156.74
p95
$201.24
p99
$421.52

50% of providers bill between $16.14 and $102.22 per claim for this code.

90% bill between $1.31 and $156.74.

Top 1% bill above $421.52.

About This Procedure

HCPCS code A9502 was billed by 825 providers across 448K claims, totaling $21.8M in Medicaid payments from 2018–2024. This code was used for 396K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.60

Providers Billing

676

National Spending

$21.8M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9502

#ProviderTotal Paid
11164627295$856K
21023060472$655K
3Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$609K
41902828841$498K
51982625885$490K
61063886323$465K
71184654923$454K
8Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$438K
91194721043$418K
101639290125$386K
111730137480$349K
121417904434$315K
13Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$288K
141073567418$259K
151124078696$233K
161255379541$211K
171245260298$199K
181104067487$195K
191376813782$190K
201093767063$181K

Showing top 20 of 825 providers billing this code