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#2420 of 11K

A9576

HCPCS Procedure Code

HCPCS code A9576 is the #2,420 most-billed Medicaid procedure code, with $5.9M in payments across 107K claims from 2018–2024. The national median cost per claim is $8.63. Costs vary widely — the 90th percentile is $77.46 per claim, 9.0× the median.

Total Paid

$5.9M

0.00% of all spending

Total Claims

107K

Providers

156

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for A9576? Based on 118 providers billing this code nationally.

Median

$8.63

Average

$40.12

Std Dev

$103.10

Max

$647.94

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$1.35
Median
$8.63
p75
$26.27
p90
$77.46
p95
$135.75
p99
$560.45

50% of providers bill between $1.35 and $26.27 per claim for this code.

90% bill between $0.14 and $77.46.

Top 1% bill above $560.45.

About This Procedure

HCPCS code A9576 was billed by 156 providers across 107K claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 98K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.63

Providers Billing

118

National Spending

$5.9M

Avg/Median Ratio

4.65×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A9576

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$2.8M
2Spartanburg Medical Center

Spartanburg, SC · Ambulance

$1.5M
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$348K
41780667923$293K
51780653618$180K
6University Of Rochester

Rochester, NY · General Acute Care Hospital

$70K
71790736551$70K
8Dignity Health

Phoenix, AZ · Rehabilitation Unit

$67K
91952333205$62K
101982800397$59K
111487608931$49K
12Alameda Health System

Oakland, CA · General Acute Care Hospital

$45K
131326021197$45K
141134102080$43K
151447231956$31K
16U Of R Neurology Department

Rochester, NY · Psychiatry & Neurology Neurology

$27K
171457389249$26K
181750332565$23K
191881788933$21K
201093712911$18K

Showing top 20 of 156 providers billing this code