#3002 of 11K

A4256

HCPCS Procedure Code

HCPCS code A4256 is the #3,002 most-billed Medicaid procedure code, with $2.8M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $2.85. Costs vary widely — the 90th percentile is $6.91 per claim, 2.4× the median.

Total Paid

$2.8M

0.00% of all spending

Total Claims

1.3M

Providers

112

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for A4256? Based on 110 providers billing this code nationally.

Median

$2.85

Average

$3.34

Std Dev

$2.82

Max

$13.73

Percentile Distribution (Cost per Claim)

p10

$0.31

p25

$0.83

Median

$2.85

p75

$5.43

p90

$6.91

p95

$8.13

p99

$9.06

50% of providers bill between $0.83 and $5.43 per claim for this code.

90% bill between $0.31 and $6.91.

Top 1% bill above $9.06.

About This Procedure

HCPCS code A4256 was billed by 112 providers across 1.3M claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.85

Providers Billing

110

National Spending

$2.8M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4256

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1851489702	$544K	$8.84	3.1× median	Top 10%
2	1700889227	$480K	$0.82	0.3× median	Below Median
3	1104800440	$444K	$5.85	2.1× median	Above 75th
4	1376648501	$239K	$1.19	0.4× median	Below Median
5	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$215K	$4.32	1.5× median	Above Median
6	1194880526	$168K	$6.45	2.3× median	Above 75th
7	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$82K	$2.55	0.9× median	Below Median
8	1710932173	$75K	$5.43	1.9× median	Above Median
9	1972526861	$55K	$8.72	3.1× median	Top 10%
10	1881900306	$49K	$0.87	0.3× median	Below Median
11	1619956901	$44K	$6.87	2.4× median	Above 75th
12	1437385069	$39K	$0.95	0.3× median	Below Median
13	1457884678	$35K	$6.37	2.2× median	Above 75th
14	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$32K	$7.85	2.8× median	Top 10%
15	1366879603	$25K	$5.96	2.1× median	Above 75th
16	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$23K	$1.18	0.4× median	Below Median
17	1972744431	$22K	$0.70	0.2× median	Below Median
18	1801060173	$20K	$3.26	1.1× median	Above Median
19	1245259282	$17K	$0.99	0.3× median	Below Median
20	1144244450	$14K	$8.00	2.8× median	Top 10%

Showing top 20 of 112 providers billing this code

Related Procedures

A4253Blood glucose test strips$164.0M A4259Lancets for blood glucose testing$19.4M A4250$5.2M A4258$1.1M A4247Betadine or iodine swabs or wipes, per each$855K

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