#1408 of 11K

A4221

Supplies for maintenance of drug infusion catheter

Supplies for maintenance of drug infusion catheter is the #1,408 most-billed Medicaid procedure code, with $24.1M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $16.19. Costs vary widely — the 90th percentile is $32.49 per claim, 2.0× the median.

Total Paid

$24.1M

0.00% of all spending

Total Claims

1.0M

Providers

415

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for A4221? Based on 402 providers billing this code nationally.

Median

$16.19

Average

$22.41

Std Dev

$43.02

Max

$652.63

Percentile Distribution (Cost per Claim)

p10

$5.00

p25

$10.02

Median

$16.19

p75

$21.51

p90

$32.49

p95

$52.91

p99

$131.07

50% of providers bill between $10.02 and $21.51 per claim for this code.

90% bill between $5.00 and $32.49.

Top 1% bill above $131.07.

About This Procedure

HCPCS code A4221 (Supplies for maintenance of drug infusion catheter) was billed by 415 providers across 1.0M claims, totaling $24.1M in Medicaid payments from 2018–2024. This code was used for 462K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.19

Providers Billing

402

National Spending

$24.1M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4221

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1306883954	$3.7M	$652.63	40.3× median	Top 1%
2	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$824K	$91.74	5.7× median	Top 10%
3	1396852000	$689K	$41.51	2.6× median	Top 10%
4	Accredo Health Group Inc Warrendale, PA · Pharmacy, Community/Retail Pharmacy	$668K	$22.16	1.4× median	Above 75th
5	1750686432	$597K	$17.60	1.1× median	Above Median
6	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$559K	$22.21	1.4× median	Above 75th
7	1609024397	$511K	$65.99	4.1× median	Top 10%
8	1285687749	$462K	$23.18	1.4× median	Above 75th
9	1619295516	$390K	$110.13	6.8× median	Top 10%
10	1912958174	$346K	$11.56	0.7× median	Below Median
11	1164556213	$334K	$19.72	1.2× median	Above Median
12	1710225271	$319K	$24.95	1.5× median	Above 75th
13	1821171877	$318K	$131.19	8.1× median	Top 1%
14	1790730596	$304K	$12.81	0.8× median	Below Median
15	1255401477	$292K	$119.76	7.4× median	Top 10%
16	1811085103	$269K	$21.24	1.3× median	Above Median
17	1871889212	$243K	$20.98	1.3× median	Above Median
18	1619316981	$240K	$30.92	1.9× median	Above 75th
19	1750396461	$226K	$22.76	1.4× median	Above 75th
20	1013942788	$218K	$21.82	1.3× median	Above 75th

Showing top 20 of 415 providers billing this code

Related Procedures

A4230Infusion supplies, non-chemotherapy, per visit$332.1M A4223$105.7M A4222$96.4M A4224$31.6M A4217Sterile water or saline for nebulizer, per unit$25.9M

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