A6253
HCPCS Procedure Code
HCPCS code A6253 is the #1,477 most-billed Medicaid procedure code, with $21.9M in payments across 172K claims from 2018–2024. The national median cost per claim is $93.50. Costs vary widely — the 90th percentile is $229.00 per claim, 2.4× the median.
Total Paid
$21.9M
0.00% of all spending
Total Claims
172K
Providers
110
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for A6253? Based on 106 providers billing this code nationally.
Median
$93.50
Average
$116.99
Std Dev
$116.09
Max
$724.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.10 and $152.48 per claim for this code.
90% bill between $5.91 and $229.00.
Top 1% bill above $564.47.
About This Procedure
HCPCS code A6253 was billed by 110 providers across 172K claims, totaling $21.9M in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$93.50
Providers Billing
106
National Spending
$21.9M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6253
| # | Provider | Total Paid |
|---|---|---|
| 1 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $2.4M |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $1.8M |
| 3 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $1.5M |
| 4 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $1.3M |
| 5 | 1548367063 | $1.1M |
| 6 | 1649244138 | $946K |
| 7 | 1356530521 | $893K |
| 8 | 1730174764 | $873K |
| 9 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $788K |
| 10 | 1639403330 | $717K |
| 11 | 1326274655 | $716K |
| 12 | 1609024397 | $657K |
| 13 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $607K |
| 14 | 1275703084 | $606K |
| 15 | 1710932173 | $606K |
| 16 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $529K |
| 17 | 1023054871 | $522K |
| 18 | 1710057500 | $520K |
| 19 | 1679653356 | $485K |
| 20 | 1346295953 | $403K |
Showing top 20 of 110 providers billing this code