A4351
Intermittent urinary catheter, straight tip, each
Intermittent urinary catheter, straight tip, each is the #402 most-billed Medicaid procedure code, with $263.0M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $116.15.
Total Paid
$263.0M
0.02% of all spending
Total Claims
1.9M
Providers
498
Avg Cost/Claim
$136
National Cost Distribution
How much do providers bill per claim for A4351? Based on 480 providers billing this code nationally.
Median
$116.15
Average
$127.04
Std Dev
$90.85
Max
$778.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $78.02 and $152.34 per claim for this code.
90% bill between $39.25 and $212.29.
Top 1% bill above $522.38.
About This Procedure
HCPCS code A4351 (Intermittent urinary catheter, straight tip, each) was billed by 498 providers across 1.9M claims, totaling $263.0M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$116.15
Providers Billing
480
National Spending
$263.0M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4351
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801899414 | $22.3M |
| 2 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $21.8M |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $21.6M |
| 4 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $18.5M |
| 5 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $9.5M |
| 6 | 1881698439 | $8.6M |
| 7 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $8.5M |
| 8 | 1578678223 | $5.0M |
| 9 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $4.4M |
| 10 | 1770583387 | $3.7M |
| 11 | 1689829491 | $3.6M |
| 12 | 1972558898 | $3.5M |
| 13 | 1326607011 | $3.5M |
| 14 | 1528204542 | $3.3M |
| 15 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $3.3M |
| 16 | 1710932173 | $3.0M |
| 17 | 1992891238 | $2.8M |
| 18 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $2.8M |
| 19 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $2.7M |
| 20 | 1275647299 | $2.5M |
Showing top 20 of 498 providers billing this code