A6530
HCPCS Procedure Code
HCPCS code A6530 is the #1,043 most-billed Medicaid procedure code, with $46.4M in payments across 765K claims from 2018–2024. The national median cost per claim is $49.70.
Total Paid
$46.4M
0.00% of all spending
Total Claims
765K
Providers
448
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for A6530? Based on 447 providers billing this code nationally.
Median
$49.70
Average
$59.43
Std Dev
$56.50
Max
$964.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.47 and $67.63 per claim for this code.
90% bill between $24.66 and $98.32.
Top 1% bill above $231.20.
About This Procedure
HCPCS code A6530 was billed by 448 providers across 765K claims, totaling $46.4M in Medicaid payments from 2018–2024. This code was used for 619K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.70
Providers Billing
447
National Spending
$46.4M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6530
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $18.4M |
| 2 | 1639375835 | $2.0M |
| 3 | 1588028005 | $1.6M |
| 4 | 1215096318 | $1.4M |
| 5 | Integra Partners Llc Troy, MI · Orthotic Fitter | $1.1M |
| 6 | 1144207911 | $957K |
| 7 | 1144358839 | $821K |
| 8 | 1447211636 | $737K |
| 9 | 1114398054 | $728K |
| 10 | 1235275629 | $472K |
| 11 | 1689792178 | $400K |
| 12 | 1518007913 | $374K |
| 13 | 1427058650 | $328K |
| 14 | 1740606409 | $317K |
| 15 | 1487275012 | $289K |
| 16 | 1609366467 | $272K |
| 17 | 1659365849 | $268K |
| 18 | 1265526396 | $258K |
| 19 | 1215277496 | $256K |
| 20 | 1407159817 | $253K |
Showing top 20 of 448 providers billing this code