#3850 of 11K

A6443

HCPCS Procedure Code

HCPCS code A6443 is the #3,850 most-billed Medicaid procedure code, with $1.1M in payments across 79K claims from 2018–2024. The national median cost per claim is $10.83. Costs vary widely — the 90th percentile is $23.94 per claim, 2.2× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

79K

Providers

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for A6443? Based on 71 providers billing this code nationally.

Median

$10.83

Average

$16.08

Std Dev

$40.83

Max

$349.02

Percentile Distribution (Cost per Claim)

p10

$1.29

p25

$5.11

Median

$10.83

p75

$15.48

p90

$23.94

p95

$26.76

p99

$127.82

50% of providers bill between $5.11 and $15.48 per claim for this code.

90% bill between $1.29 and $23.94.

Top 1% bill above $127.82.

About This Procedure

HCPCS code A6443 was billed by 79 providers across 79K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 68K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.83

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6443

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$171K	$15.62	1.4× median	Above 75th
2	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$170K	$15.51	1.4× median	Above 75th
3	1346295953	$88K	$18.10	1.7× median	Above 75th
4	1942251848	$77K	$349.02	32.2× median	Top 1%
5	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$69K	$9.12	0.8× median	Below Median
6	1710932173	$69K	$12.31	1.1× median	Above Median
7	1649244138	$64K	$13.70	1.3× median	Above Median
8	1427139641	$58K	$14.84	1.4× median	Above Median
9	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$54K	$19.15	1.8× median	Above 75th
10	1669570172	$35K	$29.44	2.7× median	Top 10%
11	1144207911	$24K	$25.88	2.4× median	Top 10%
12	1043390370	$22K	$26.52	2.4× median	Top 10%
13	1275703084	$16K	$17.98	1.7× median	Above 75th
14	1336736115	$13K	$9.70	0.9× median	Below Median
15	1275944514	$12K	$14.47	1.3× median	Above Median
16	1922006741	$12K	$20.94	1.9× median	Above 75th
17	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$12K	$13.24	1.2× median	Above Median
18	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$11K	$8.36	0.8× median	Below Median
19	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$10K	$14.57	1.3× median	Above Median
20	1043476005	$10K	$14.34	1.3× median	Above Median

Showing top 20 of 79 providers billing this code

Related Procedures

A6446$18.9M A6449$6.3M A6452$2.2M A6450$561K A6445$353K

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