A4230
Infusion supplies, non-chemotherapy, per visit
Infusion supplies, non-chemotherapy, per visit is the #369 most-billed Medicaid procedure code, with $332.1M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $136.09. Costs vary widely — the 90th percentile is $300.72 per claim, 2.2× the median.
Total Paid
$332.1M
0.03% of all spending
Total Claims
2.3M
Providers
125
Avg Cost/Claim
$147
National Cost Distribution
How much do providers bill per claim for A4230? Based on 123 providers billing this code nationally.
Median
$136.09
Average
$165.57
Std Dev
$114.71
Max
$976.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $106.50 and $179.95 per claim for this code.
90% bill between $84.96 and $300.72.
Top 1% bill above $530.37.
About This Procedure
HCPCS code A4230 (Infusion supplies, non-chemotherapy, per visit) was billed by 125 providers across 2.3M claims, totaling $332.1M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$136.09
Providers Billing
123
National Spending
$332.1M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4230
| # | Provider | Total Paid |
|---|---|---|
| 1 | Minimed Distribution Corp. Northridge, CA · Durable Medical Equipment & Medical Supplies | $48.2M |
| 2 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $30.5M |
| 3 | Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies | $27.8M |
| 4 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $23.3M |
| 5 | 1619295516 | $18.2M |
| 6 | 1962731570 | $13.4M |
| 7 | 1033142948 | $12.8M |
| 8 | 1477509628 | $11.9M |
| 9 | Edwards Health Care Services Inc. Morehead City, NC · Durable Medical Equipment & Medical Supplies | $8.7M |
| 10 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $8.5M |
| 11 | 1174504765 | $7.1M |
| 12 | 1184777286 | $6.1M |
| 13 | 1609024397 | $6.1M |
| 14 | 1164537452 | $5.4M |
| 15 | 1295801421 | $5.3M |
| 16 | Pal-med Llc Columbia, SC · Durable Medical Equipment & Medical Supplies | $5.2M |
| 17 | 1114167111 | $5.1M |
| 18 | 1316903545 | $5.1M |
| 19 | 1093711996 | $4.8M |
| 20 | 1366653545 | $4.6M |
Showing top 20 of 125 providers billing this code