#2417 of 11K

A4340

HCPCS Procedure Code

HCPCS code A4340 is the #2,417 most-billed Medicaid procedure code, with $5.9M in payments across 27K claims from 2018–2024. The national median cost per claim is $6.93. Costs vary widely — the 90th percentile is $51.79 per claim, 7.5× the median.

Total Paid

$5.9M

0.00% of all spending

Total Claims

27K

Providers

Avg Cost/Claim

$220

National Cost Distribution

How much do providers bill per claim for A4340? Based on 27 providers billing this code nationally.

Median

$6.93

Average

$51.07

Std Dev

$171.12

Max

$899.91

Percentile Distribution (Cost per Claim)

p10

$1.46

p25

$2.59

Median

$6.93

p75

$32.16

p90

$51.79

p95

$85.76

p99

$690.53

50% of providers bill between $2.59 and $32.16 per claim for this code.

90% bill between $1.46 and $51.79.

Top 1% bill above $690.53.

About This Procedure

HCPCS code A4340 was billed by 29 providers across 27K claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.93

Providers Billing

National Spending

$5.9M

Avg/Median Ratio

7.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4340

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1326607011	$5.5M	$899.91	129.9× median	Top 1%
2	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$175K	$65.05	9.4× median	Top 10%
3	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$68K	$26.92	3.9× median	Above Median
4	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$56K	$94.63	13.7× median	Top 10%
5	1013124213	$21K	$3.33	0.5× median	Below Median
6	1881698439	$17K	$31.53	4.5× median	Above Median
7	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$15K	$28.84	4.2× median	Above Median
8	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$13K	$37.54	5.4× median	Above 75th
9	Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies	$13K	$15.45	2.2× median	Above Median
10	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$11K	$32.79	4.7× median	Above 75th
11	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$8K	$14.49	2.1× median	Above Median
12	1053347344	$4K	$1.68	0.2× median	Below Median
13	1922006741	$4K	$34.00	4.9× median	Above 75th
14	1376916379	$2K	$6.02	0.9× median	Below Median
15	1649244138	$2K	$5.51	0.8× median	Below Median
16	1609024397	$2K	$42.95	6.2× median	Above 75th
17	1164756755	$953	$1.14	0.2× median	Below Median
18	1053424648	$797	$9.72	1.4× median	Above Median
19	1063771798	$732	$1.71	0.2× median	Below Median
20	1912368457	$483	$5.43	0.8× median	Below Median

Showing top 20 of 29 providers billing this code

Related Procedures

A4335Incontinence supply, miscellaneous$100.4M A4344$12.2M A4349$9.6M A4332$3.8M A4338$3.0M

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