K0553
Supply allowance for therapeutic CGM, per month
Supply allowance for therapeutic CGM, per month is the #392 most-billed Medicaid procedure code, with $276.6M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $53.20. Costs vary widely — the 90th percentile is $198.32 per claim, 3.7× the median.
Total Paid
$276.6M
0.03% of all spending
Total Claims
2.5M
Providers
357
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for K0553? Based on 344 providers billing this code nationally.
Median
$53.20
Average
$93.40
Std Dev
$104.39
Max
$755.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.35 and $124.00 per claim for this code.
90% bill between $11.70 and $198.32.
Top 1% bill above $487.12.
About This Procedure
HCPCS code K0553 (Supply allowance for therapeutic CGM, per month) was billed by 357 providers across 2.5M claims, totaling $276.6M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.20
Providers Billing
344
National Spending
$276.6M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for K0553
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376797704 | $23.7M |
| 2 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $19.1M |
| 3 | 1033142948 | $16.0M |
| 4 | 1316903545 | $15.5M |
| 5 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $12.6M |
| 6 | Benzer Co 1 Llc Byers, CO · Pharmacy Community/Retail Pharmacy | $12.2M |
| 7 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $11.7M |
| 8 | 1093711996 | $11.5M |
| 9 | 1245259282 | $10.9M |
| 10 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $10.3M |
| 11 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $9.0M |
| 12 | 1447321674 | $9.0M |
| 13 | 1700889227 | $7.2M |
| 14 | 1710932173 | $6.0M |
| 15 | 1609024397 | $5.8M |
| 16 | 1235312695 | $5.6M |
| 17 | 1629013156 | $5.5M |
| 18 | Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies | $5.3M |
| 19 | 1114167111 | $4.3M |
| 20 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $4.0M |
Showing top 20 of 357 providers billing this code