A4206
HCPCS Procedure Code
HCPCS code A4206 is the #3,168 most-billed Medicaid procedure code, with $2.3M in payments across 214K claims from 2018–2024. The national median cost per claim is $1.96. Costs vary widely — the 90th percentile is $31.36 per claim, 16.0× the median.
Total Paid
$2.3M
0.00% of all spending
Total Claims
214K
Providers
147
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for A4206? Based on 124 providers billing this code nationally.
Median
$1.96
Average
$12.08
Std Dev
$20.17
Max
$135.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.08 and $18.74 per claim for this code.
90% bill between $0.01 and $31.36.
Top 1% bill above $95.37.
About This Procedure
HCPCS code A4206 was billed by 147 providers across 214K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 163K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.96
Providers Billing
124
National Spending
$2.3M
Avg/Median Ratio
6.16×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4206
| # | Provider | Total Paid |
|---|---|---|
| 1 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $411K |
| 2 | 1104800440 | $284K |
| 3 | 1972526861 | $209K |
| 4 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $184K |
| 5 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $176K |
| 6 | 1730221599 | $163K |
| 7 | 1194880526 | $140K |
| 8 | 1356732382 | $138K |
| 9 | 1700836541 | $105K |
| 10 | 1972687556 | $96K |
| 11 | 1497796122 | $87K |
| 12 | 1487605093 | $58K |
| 13 | 1811222748 | $36K |
| 14 | 1114923075 | $33K |
| 15 | 1134120462 | $19K |
| 16 | 1659458073 | $17K |
| 17 | 1356388771 | $16K |
| 18 | 1588976815 | $14K |
| 19 | 1518086032 | $9K |
| 20 | 1134304595 | $9K |
Showing top 20 of 147 providers billing this code