A6534
HCPCS Procedure Code
HCPCS code A6534 is the #4,878 most-billed Medicaid procedure code, with $365K in payments across 5K claims from 2018–2024. The national median cost per claim is $63.10.
Total Paid
$365K
0.00% of all spending
Total Claims
5K
Providers
17
Avg Cost/Claim
$69
National Cost Distribution
How much do providers bill per claim for A6534? Based on 16 providers billing this code nationally.
Median
$63.10
Average
$83.78
Std Dev
$100.08
Max
$437.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.55 and $96.56 per claim for this code.
90% bill between $17.88 and $105.32.
Top 1% bill above $387.63.
About This Procedure
HCPCS code A6534 was billed by 17 providers across 5K claims, totaling $365K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$63.10
Providers Billing
16
National Spending
$365K
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6534
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962485151 | $220K |
| 2 | 1417914128 | $56K |
| 3 | 1568496594 | $14K |
| 4 | 1164472411 | $13K |
| 5 | 1942752548 | $12K |
| 6 | 1518007913 | $11K |
| 7 | 1780858647 | $8K |
| 8 | 1831708163 | $8K |
| 9 | 1174168926 | $8K |
| 10 | Integra Partners Llc Troy, MI · Orthotic Fitter | $5K |
| 11 | 1982602207 | $5K |
| 12 | 1093720633 | $2K |
| 13 | 1245387943 | $1K |
| 14 | 1427058650 | $600 |
| 15 | 1538314661 | $299 |
| 16 | 1932498318 | $89 |
| 17 | 1295053502 | $0 |
Showing top 17 of 17 providers billing this code