#1752 of 11K

A5063

HCPCS Procedure Code

HCPCS code A5063 is the #1,752 most-billed Medicaid procedure code, with $14.7M in payments across 539K claims from 2018–2024. The national median cost per claim is $27.93.

Total Paid

$14.7M

0.00% of all spending

Total Claims

539K

Providers

224

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for A5063? Based on 222 providers billing this code nationally.

Median

$27.93

Average

$29.52

Std Dev

$19.83

Max

$151.91

Percentile Distribution (Cost per Claim)

p10

$6.39

p25

$18.74

Median

$27.93

p75

$37.16

p90

$49.34

p95

$61.17

p99

$92.78

50% of providers bill between $18.74 and $37.16 per claim for this code.

90% bill between $6.39 and $49.34.

Top 1% bill above $92.78.

About This Procedure

HCPCS code A5063 was billed by 224 providers across 539K claims, totaling $14.7M in Medicaid payments from 2018–2024. This code was used for 469K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.93

Providers Billing

222

National Spending

$14.7M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A5063

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$2.0M	$30.18	1.1× median	Above Median
2	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$1.1M	$27.07	1.0× median	Below Median
3	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$1.1M	$67.58	2.4× median	Top 10%
4	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$505K	$48.99	1.8× median	Above 75th
5	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$494K	$22.30	0.8× median	Below Median
6	1710932173	$493K	$43.43	1.6× median	Above 75th
7	1609024397	$493K	$36.60	1.3× median	Above Median
8	1649244138	$480K	$18.22	0.7× median	Below Median
9	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$464K	$25.25	0.9× median	Below Median
10	1881698439	$357K	$19.75	0.7× median	Below Median
11	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$307K	$18.92	0.7× median	Below Median
12	1427139641	$252K	$50.85	1.8× median	Top 10%
13	1275851800	$241K	$35.00	1.3× median	Above Median
14	1992891238	$209K	$18.70	0.7× median	Below Median
15	1801899414	$199K	$73.99	2.6× median	Top 10%
16	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$197K	$23.62	0.8× median	Below Median
17	1548367063	$183K	$31.84	1.1× median	Above Median
18	1346295953	$173K	$29.83	1.1× median	Above Median
19	1114267127	$173K	$18.86	0.7× median	Below Median
20	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$165K	$33.69	1.2× median	Above Median

Showing top 20 of 224 providers billing this code

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