0053A
HCPCS Procedure Code
HCPCS code 0053A is the #4,240 most-billed Medicaid procedure code, with $722K in payments across 23K claims from 2018–2024. The national median cost per claim is $37.33.
Total Paid
$722K
0.00% of all spending
Total Claims
23K
Providers
257
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 0053A? Based on 241 providers billing this code nationally.
Median
$37.33
Average
$38.00
Std Dev
$39.49
Max
$608.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.29 and $40.00 per claim for this code.
90% bill between $18.36 and $50.99.
Top 1% bill above $82.03.
About This Procedure
HCPCS code 0053A was billed by 257 providers across 23K claims, totaling $722K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.33
Providers Billing
241
National Spending
$722K
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0053A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Kewa Pueblo Health Corporation Santo Domingo Pueblo, NM · Clinic/Center | $73K |
| 2 | Gregory Huhn Chicago, IL · Internal Medicine | $60K |
| 3 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $53K |
| 4 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $27K |
| 5 | Cdva Corp Villalba, PR · Health Maintenance Organization | $27K |
| 6 | Brockton Neighborhood Health Center Brockton, MA · Clinic/Center, Federally Qualified Health Center (FQHC) | $25K |
| 7 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $15K |
| 8 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $12K |
| 9 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $12K |
| 10 | 1346314564 | $11K |
| 11 | 1497107775 | $10K |
| 12 | 1235253485 | $10K |
| 13 | 1518945278 | $9K |
| 14 | Novant Health Medical Group, Llc Charlotte, NC · Family Medicine | $9K |
| 15 | 1154503399 | $9K |
| 16 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $7K |
| 17 | Centro De Diagnostico Y Tratamiento De San Sebastian Inc San Sebastian, PR · Clinic/Center, Health Services | $7K |
| 18 | 1376104125 | $6K |
| 19 | 1063786812 | $6K |
| 20 | 1902972979 | $6K |
Showing top 20 of 257 providers billing this code