A4320
HCPCS Procedure Code
HCPCS code A4320 is the #3,340 most-billed Medicaid procedure code, with $1.9M in payments across 96K claims from 2018–2024. The national median cost per claim is $9.59. Costs vary widely — the 90th percentile is $43.75 per claim, 4.6× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
96K
Providers
76
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for A4320? Based on 73 providers billing this code nationally.
Median
$9.59
Average
$21.22
Std Dev
$35.05
Max
$220.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.56 and $21.33 per claim for this code.
90% bill between $1.73 and $43.75.
Top 1% bill above $180.44.
About This Procedure
HCPCS code A4320 was billed by 76 providers across 96K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 86K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.59
Providers Billing
73
National Spending
$1.9M
Avg/Median Ratio
2.21×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4320
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $348K |
| 2 | 1770998494 | $341K |
| 3 | 1922006741 | $178K |
| 4 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $88K |
| 5 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $84K |
| 6 | 1285621193 | $83K |
| 7 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $77K |
| 8 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $68K |
| 9 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $54K |
| 10 | 1801899414 | $54K |
| 11 | 1013124213 | $53K |
| 12 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $50K |
| 13 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $42K |
| 14 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $36K |
| 15 | 1710932173 | $34K |
| 16 | 1639161250 | $33K |
| 17 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $29K |
| 18 | 1386688414 | $25K |
| 19 | 1649244138 | $18K |
| 20 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $17K |
Showing top 20 of 76 providers billing this code