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#1202 of 11K

A5500

Diabetic therapeutic shoe, depth, each

Diabetic therapeutic shoe, depth, each is the #1,202 most-billed Medicaid procedure code, with $33.6M in payments across 954K claims from 2018–2024. The national median cost per claim is $33.21.

Total Paid

$33.6M

0.00% of all spending

Total Claims

954K

Providers

1,244

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for A5500? Based on 1,190 providers billing this code nationally.

Median

$33.21

Average

$36.15

Std Dev

$25.07

Max

$163.19

Percentile Distribution (Cost per Claim)

p10
$7.28
p25
$18.67
Median
$33.21
p75
$46.98
p90
$65.13
p95
$83.56
p99
$124.15

50% of providers bill between $18.67 and $46.98 per claim for this code.

90% bill between $7.28 and $65.13.

Top 1% bill above $124.15.

About This Procedure

HCPCS code A5500 (Diabetic therapeutic shoe, depth, each) was billed by 1,244 providers across 954K claims, totaling $33.6M in Medicaid payments from 2018–2024. This code was used for 561K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.21

Providers Billing

1,190

National Spending

$33.6M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A5500

#ProviderTotal Paid
11558316851$1.6M
21104800440$1.3M
3Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.2M
41164586103$688K
51336456193$621K
61700802147$490K
71912955881$432K
81174573307$431K
91659365849$395K
101558370023$391K
111992832075$388K
121982615712$380K
131376576355$367K
141043302722$346K
151629015904$344K
161972550028$335K
171427058650$331K
181215983366$305K
191093901100$295K
201679617229$293K

Showing top 20 of 1,244 providers billing this code