A4211
HCPCS Procedure Code
HCPCS code A4211 is the #3,040 most-billed Medicaid procedure code, with $2.7M in payments across 33K claims from 2018–2024. The national median cost per claim is $9.60. Costs vary widely — the 90th percentile is $160.89 per claim, 16.8× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
33K
Providers
27
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for A4211? Based on 26 providers billing this code nationally.
Median
$9.60
Average
$53.79
Std Dev
$86.11
Max
$314.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.63 and $61.49 per claim for this code.
90% bill between $1.14 and $160.89.
Top 1% bill above $304.05.
About This Procedure
HCPCS code A4211 was billed by 27 providers across 33K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.60
Providers Billing
26
National Spending
$2.7M
Avg/Median Ratio
5.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4211
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164735379 | $1.3M |
| 2 | 1972841872 | $828K |
| 3 | 1992908743 | $216K |
| 4 | 1083775621 | $107K |
| 5 | 1134226178 | $79K |
| 6 | 1609899590 | $52K |
| 7 | 1285621193 | $34K |
| 8 | 1912953431 | $31K |
| 9 | 1699714022 | $12K |
| 10 | 1053470955 | $11K |
| 11 | 1518003136 | $8K |
| 12 | 1609912229 | $4K |
| 13 | 1154383362 | $3K |
| 14 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $3K |
| 15 | 1386783629 | $2K |
| 16 | 1760532394 | $1K |
| 17 | 1972577104 | $745 |
| 18 | 1750443446 | $648 |
| 19 | 1134204738 | $409 |
| 20 | 1912930736 | $343 |
Showing top 20 of 27 providers billing this code