Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7090 of 11K

A4326

Male external catheter with adhesive strip

Male external catheter with adhesive strip is the #7,090 most-billed Medicaid procedure code, with $29K in payments across 296 claims from 2018–2024. The national median cost per claim is $111.75.

Total Paid

$29K

0.00% of all spending

Total Claims

296

Providers

4

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for A4326? Based on 4 providers billing this code nationally.

Median

$111.75

Average

$117.12

Std Dev

$70.19

Max

$201.24

Percentile Distribution (Cost per Claim)

p10
$54.06
p25
$69.53
Median
$111.75
p75
$159.34
p90
$184.48
p95
$192.86
p99
$199.56

50% of providers bill between $69.53 and $159.34 per claim for this code.

90% bill between $54.06 and $184.48.

Top 1% bill above $199.56.

About This Procedure

HCPCS code A4326 (Male external catheter with adhesive strip) was billed by 4 providers across 296 claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 259 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$111.75

Providers Billing

4

National Spending

$29K

Avg/Median Ratio

1.05×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.