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#529 of 11K

A4253

Blood glucose test strips

Blood glucose test strips is the #529 most-billed Medicaid procedure code, with $164.0M in payments across 5.2M claims from 2018–2024. The national median cost per claim is $6.92. Costs vary widely — the 90th percentile is $47.61 per claim, 6.9× the median.

Total Paid

$164.0M

0.02% of all spending

Total Claims

5.2M

Providers

5K

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for A4253? Based on 4K providers billing this code nationally.

Median

$6.92

Average

$16.69

Std Dev

$20.84

Max

$258.19

Percentile Distribution (Cost per Claim)

p10
$1.74
p25
$3.39
Median
$6.92
p75
$23.42
p90
$47.61
p95
$57.10
p99
$85.57

50% of providers bill between $3.39 and $23.42 per claim for this code.

90% bill between $1.74 and $47.61.

Top 1% bill above $85.57.

About This Procedure

HCPCS code A4253 (Blood glucose test strips) was billed by 5K providers across 5.2M claims, totaling $164.0M in Medicaid payments from 2018–2024. This code was used for 4.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.92

Providers Billing

4K

National Spending

$164.0M

Avg/Median Ratio

2.41×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4253

#ProviderTotal Paid
1Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$10.9M
21851489702$10.1M
31912145541$8.2M
41104800440$6.8M
51962440891$6.3M
61033142948$5.6M
7J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$5.5M
8Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$4.3M
91568530855$4.2M
101194880526$4.1M
11Edwards Health Care Services Inc.

Morehead City, NC · Durable Medical Equipment & Medical Supplies

$3.3M
121003813064$2.9M
131700889227$2.9M
141366879603$2.6M
151992736425$2.4M
161972660322$2.1M
171972526861$2.0M
181114167111$1.9M
191366653545$1.7M
201285018457$1.6M

Showing top 20 of 5K providers billing this code