#2069 of 11K

A6533

HCPCS Procedure Code

HCPCS code A6533 is the #2,069 most-billed Medicaid procedure code, with $9.5M in payments across 110K claims from 2018–2024. The national median cost per claim is $74.92. Costs vary widely — the 90th percentile is $196.65 per claim, 2.6× the median.

Total Paid

$9.5M

0.00% of all spending

Total Claims

110K

Providers

126

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for A6533? Based on 126 providers billing this code nationally.

Median

$74.92

Average

$93.81

Std Dev

$74.74

Max

$396.20

Percentile Distribution (Cost per Claim)

p10

$32.22

p25

$46.51

Median

$74.92

p75

$105.62

p90

$196.65

p95

$248.86

p99

$381.97

50% of providers bill between $46.51 and $105.62 per claim for this code.

90% bill between $32.22 and $196.65.

Top 1% bill above $381.97.

About This Procedure

HCPCS code A6533 was billed by 126 providers across 110K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 88K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.92

Providers Billing

126

National Spending

$9.5M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6533

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1215096318	$1.4M	$74.55	1.0× median	Below Median
2	B.w.medical Supply Co.,inc. Baltimore, MD · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$1.4M	$396.20	5.3× median	Top 1%
3	1417998345	$710K	$384.56	5.1× median	Top 1%
4	1477627354	$396K	$97.51	1.3× median	Above Median
5	1891907747	$354K	$113.49	1.5× median	Above 75th
6	1588028005	$312K	$225.09	3.0× median	Top 10%
7	1144207911	$306K	$91.55	1.2× median	Above Median
8	1144358839	$228K	$80.25	1.1× median	Above Median
9	Integra Partners Llc Troy, MI · Orthotic Fitter	$220K	$56.06	0.7× median	Below Median
10	1922071034	$216K	$56.76	0.8× median	Below Median
11	1568851129	$208K	$198.55	2.7× median	Top 10%
12	1558461939	$203K	$67.39	0.9× median	Below Median
13	Rapid Medical, Llc Pueblo, CO · Durable Medical Equipment & Medical Supplies	$196K	$30.42	0.4× median	Below Median
14	1972550028	$180K	$76.80	1.0× median	Above Median
15	1245414150	$167K	$129.67	1.7× median	Above 75th
16	1578560587	$145K	$124.71	1.7× median	Above 75th
17	1003980988	$143K	$77.85	1.0× median	Above Median
18	1306282926	$137K	$36.64	0.5× median	Below Median
19	1265526396	$137K	$57.88	0.8× median	Below Median
20	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$133K	$52.69	0.7× median	Below Median

Showing top 20 of 126 providers billing this code

Related Procedures

A6530$46.4M A6539$13.6M A6540$4.6M A6531$3.2M A6534$365K

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