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#2246 of 11K

A4453

HCPCS Procedure Code

HCPCS code A4453 is the #2,246 most-billed Medicaid procedure code, with $7.5M in payments across 13K claims from 2018–2024. The national median cost per claim is $573.45. Costs vary widely — the 90th percentile is $1,441.45 per claim, 2.5× the median.

Total Paid

$7.5M

0.00% of all spending

Total Claims

13K

Providers

12

Avg Cost/Claim

$578

National Cost Distribution

How much do providers bill per claim for A4453? Based on 10 providers billing this code nationally.

Median

$573.45

Average

$719.34

Std Dev

$449.97

Max

$1,617.72

Percentile Distribution (Cost per Claim)

p10
$385.33
p25
$399.69
Median
$573.45
p75
$773.31
p90
$1,441.45
p95
$1,529.58
p99
$1,600.09

50% of providers bill between $399.69 and $773.31 per claim for this code.

90% bill between $385.33 and $1,441.45.

Top 1% bill above $1,600.09.

About This Procedure

HCPCS code A4453 was billed by 12 providers across 13K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$573.45

Providers Billing

10

National Spending

$7.5M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4453

#ProviderTotal Paid
1Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$3.5M
21992891238$2.5M
31164873865$510K
4Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$361K
51710932173$200K
61922006741$178K
71588155857$107K
81811280498$48K
91164888533$15K
101720160385$9K
111720034275$0
121861496812$0

Showing top 12 of 12 providers billing this code