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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851489702 | $56K |
| 2 | 1619956901 | $20K |
| 3 | 1700889227 | $14K |
| 4 | 1992799787 | $6K |
| 5 | 1972526861 | $4K |
| 6 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $2K |
| 7 | 1972744431 | $1K |
| 8 | 1649375460 | $713 |
| 9 | 1356693436 | $337 |
| 10 | 1912145541 | $321 |
| 11 | 1073935862 | $150 |
| 12 | 1811097504 | $26 |
| 13 | 1194876581 | $16 |
| 14 | 1154842144 | $9 |
| 15 | 1548489016 | $0 |
| 16 | Pal-med Llc Columbia, SC · Durable Medical Equipment & Medical Supplies | $0 |
Showing top 16 of 16 providers billing this code