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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $3.5M |
| 2 | 1992891238 | $2.5M |
| 3 | 1164873865 | $510K |
| 4 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $361K |
| 5 | 1710932173 | $200K |
| 6 | 1922006741 | $178K |
| 7 | 1588155857 | $107K |
| 8 | 1811280498 | $48K |
| 9 | 1164888533 | $15K |
| 10 | 1720160385 | $9K |
| 11 | 1720034275 | $0 |
| 12 | 1861496812 | $0 |
Showing top 12 of 12 providers billing this code