A4286
HCPCS Procedure Code
HCPCS code A4286 is the #4,588 most-billed Medicaid procedure code, with $500K in payments across 105K claims from 2018–2024. The national median cost per claim is $2.41. Costs vary widely — the 90th percentile is $9.94 per claim, 4.1× the median.
Total Paid
$500K
0.00% of all spending
Total Claims
105K
Providers
18
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for A4286? Based on 12 providers billing this code nationally.
Median
$2.41
Average
$8.45
Std Dev
$19.29
Max
$68.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.68 and $4.67 per claim for this code.
90% bill between $0.35 and $9.94.
Top 1% bill above $62.41.
About This Procedure
HCPCS code A4286 was billed by 18 providers across 105K claims, totaling $500K in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.41
Providers Billing
12
National Spending
$500K
Avg/Median Ratio
3.51×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4286
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902140734 | $418K |
| 2 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $35K |
| 3 | 1033221841 | $26K |
| 4 | 1699021642 | $8K |
| 5 | 1457772535 | $7K |
| 6 | 1801965231 | $3K |
| 7 | 1184960874 | $2K |
| 8 | 1245773043 | $433 |
| 9 | 1639375835 | $173 |
| 10 | 1043249196 | $59 |
| 11 | 1790718385 | $24 |
| 12 | 1275523581 | $13 |
| 13 | 1578882718 | $0 |
| 14 | 1003462581 | $0 |
| 15 | 1750772869 | $0 |
| 16 | 1366517450 | $0 |
| 17 | 1205125663 | $0 |
| 18 | 1164923298 | $0 |
Showing top 18 of 18 providers billing this code