A4250
HCPCS Procedure Code
HCPCS code A4250 is the #2,523 most-billed Medicaid procedure code, with $5.2M in payments across 223K claims from 2018–2024. The national median cost per claim is $4.46. Costs vary widely — the 90th percentile is $24.63 per claim, 5.5× the median.
Total Paid
$5.2M
0.00% of all spending
Total Claims
223K
Providers
92
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for A4250? Based on 79 providers billing this code nationally.
Median
$4.46
Average
$9.06
Std Dev
$13.71
Max
$91.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.05 and $12.20 per claim for this code.
90% bill between $0.02 and $24.63.
Top 1% bill above $58.85.
About This Procedure
HCPCS code A4250 was billed by 92 providers across 223K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 200K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.46
Providers Billing
79
National Spending
$5.2M
Avg/Median Ratio
2.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4250
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1912145541 | $3.4M |
| 2 | 1003813064 | $446K |
| 3 | 1487605093 | $170K |
| 4 | 1619956901 | $145K |
| 5 | Pal-med Llc Columbia, SC · Durable Medical Equipment & Medical Supplies | $131K |
| 6 | 1972660322 | $125K |
| 7 | 1144244450 | $123K |
| 8 | 1366653545 | $117K |
| 9 | 1033142948 | $98K |
| 10 | 1962440891 | $50K |
| 11 | Edwards Health Care Services Inc. Morehead City, NC · Durable Medical Equipment & Medical Supplies | $42K |
| 12 | 1114167111 | $40K |
| 13 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $27K |
| 14 | 1558635235 | $22K |
| 15 | 1265453229 | $18K |
| 16 | 1104800440 | $18K |
| 17 | 1144498817 | $17K |
| 18 | 1770044208 | $14K |
| 19 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $12K |
| 20 | 1770512501 | $11K |
Showing top 20 of 92 providers billing this code