#896 of 11K

A0433

HCPCS Procedure Code

HCPCS code A0433 is the #896 most-billed Medicaid procedure code, with $62.3M in payments across 239K claims from 2018–2024. The national median cost per claim is $207.46. Costs vary widely — the 90th percentile is $440.93 per claim, 2.1× the median.

Total Paid

$62.3M

0.01% of all spending

Total Claims

239K

Providers

392

Avg Cost/Claim

$261

National Cost Distribution

How much do providers bill per claim for A0433? Based on 385 providers billing this code nationally.

Median

$207.46

Average

$259.91

Std Dev

$182.97

Max

$1,405.18

Percentile Distribution (Cost per Claim)

p10

$104.75

p25

$148.04

Median

$207.46

p75

$318.00

p90

$440.93

p95

$619.78

p99

$936.91

50% of providers bill between $148.04 and $318.00 per claim for this code.

90% bill between $104.75 and $440.93.

Top 1% bill above $936.91.

About This Procedure

HCPCS code A0433 was billed by 392 providers across 239K claims, totaling $62.3M in Medicaid payments from 2018–2024. This code was used for 212K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$207.46

Providers Billing

385

National Spending

$62.3M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A0433

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children	$3.7M	$1,352.88	6.5× median	Top 1%
2	Acadian Ambulance Service Inc. Lafayette, LA · Ambulance Air Transport	$2.9M	$275.53	1.3× median	Above Median
3	Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital	$2.6M	$1,143.25	5.5× median	Top 1%
4	City Of Phoenix Arizona Phoenix, AZ · Emergency Medical Technician Paramedic	$2.2M	$533.88	2.6× median	Top 10%
5	New York City Health And Hospitals Corporation Brooklyn, NY · Ambulance, Land Transport	$1.6M	$205.11	1.0× median	Below Median
6	1093790974	$1.5M	$359.90	1.7× median	Above 75th
7	1538195912	$1.3M	$519.12	2.5× median	Top 10%
8	1881232692	$1.3M	$230.30	1.1× median	Above Median
9	City Of Chicago Chicago, IL · Ambulance	$1.1M	$180.75	0.9× median	Below Median
10	City Of Las Vegas Las Vegas, NV · Ambulance	$1.0M	$470.00	2.3× median	Top 10%
11	1144266024	$1.0M	$493.60	2.4× median	Top 10%
12	1558573410	$949K	$265.87	1.3× median	Above Median
13	City Of Los Angeles Los Angeles, CA · Ambulance	$890K	$276.38	1.3× median	Above Median
14	1447200167	$833K	$241.70	1.2× median	Above Median
15	1568563278	$809K	$187.65	0.9× median	Below Median
16	1760408926	$749K	$285.87	1.4× median	Above Median
17	1811055569	$734K	$357.70	1.7× median	Above 75th
18	1306887260	$723K	$266.15	1.3× median	Above Median
19	1922098029	$711K	$194.03	0.9× median	Below Median
20	1740207646	$664K	$346.65	1.7× median	Above 75th

Showing top 20 of 392 providers billing this code

Related Procedures

A0427Ambulance, ALS emergency transport Level 1$7.67B A0429Ambulance, BLS emergency transport$6.06B A0425Ground mileage, per statute mile$3.45B A0428Ambulance service, BLS, non-emergency transport$1.83B A0431Ambulance service, conventional air, transport, one way$915.3M

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