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#6018 of 11K

A4235

HCPCS Procedure Code

HCPCS code A4235 is the #6,018 most-billed Medicaid procedure code, with $105K in payments across 122K claims from 2018–2024. The national median cost per claim is $0.88. Costs vary widely — the 90th percentile is $2.93 per claim, 3.3× the median.

Total Paid

$105K

0.00% of all spending

Total Claims

122K

Providers

16

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for A4235? Based on 14 providers billing this code nationally.

Median

$0.88

Average

$1.26

Std Dev

$1.24

Max

$4.07

Percentile Distribution (Cost per Claim)

p10
$0.21
p25
$0.24
Median
$0.88
p75
$1.75
p90
$2.93
p95
$3.64
p99
$3.99

50% of providers bill between $0.24 and $1.75 per claim for this code.

90% bill between $0.21 and $2.93.

Top 1% bill above $3.99.

About This Procedure

HCPCS code A4235 was billed by 16 providers across 122K claims, totaling $105K in Medicaid payments from 2018–2024. This code was used for 104K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.88

Providers Billing

14

National Spending

$105K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4235

#ProviderTotal Paid
11851489702$56K
21619956901$20K
31700889227$14K
41992799787$6K
51972526861$4K
6Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$2K
71972744431$1K
81649375460$713
91356693436$337
101912145541$321
111073935862$150
121811097504$26
131194876581$16
141154842144$9
151548489016$0
16Pal-med Llc

Columbia, SC · Durable Medical Equipment & Medical Supplies

$0

Showing top 16 of 16 providers billing this code