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#318 of 11K

A4353

Intermittent urinary catheter, with insertion supplies

Intermittent urinary catheter, with insertion supplies is the #318 most-billed Medicaid procedure code, with $427.7M in payments across 807K claims from 2018–2024. The national median cost per claim is $508.29.

Total Paid

$427.7M

0.04% of all spending

Total Claims

807K

Providers

238

Avg Cost/Claim

$530

National Cost Distribution

How much do providers bill per claim for A4353? Based on 236 providers billing this code nationally.

Median

$508.29

Average

$502.13

Std Dev

$277.50

Max

$1,585.44

Percentile Distribution (Cost per Claim)

p10
$74.67
p25
$342.53
Median
$508.29
p75
$645.48
p90
$859.14
p95
$952.94
p99
$1,237.07

50% of providers bill between $342.53 and $645.48 per claim for this code.

90% bill between $74.67 and $859.14.

Top 1% bill above $1,237.07.

About This Procedure

HCPCS code A4353 (Intermittent urinary catheter, with insertion supplies) was billed by 238 providers across 807K claims, totaling $427.7M in Medicaid payments from 2018–2024. This code was used for 688K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$508.29

Providers Billing

236

National Spending

$427.7M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4353

#ProviderTotal Paid
1180 Medical Inc

Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment

$98.7M
21972558898$18.5M
31811974587$16.8M
41356678478$13.4M
51477534717$13.0M
6Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$12.0M
7Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$9.6M
81386818789$8.9M
9Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$7.3M
10Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$6.9M
111881698439$5.5M
121992891238$5.4M
13J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$5.1M
141396901047$5.1M
151427081934$5.1M
161235447442$5.0M
171518231547$4.9M
181124132154$4.7M
191265760920$4.6M
201811941487$4.4M

Showing top 20 of 238 providers billing this code