#4362 of 11K

A4354

Insertion tray with drainage bag, with indwelling catheter

Insertion tray with drainage bag, with indwelling catheter is the #4,362 most-billed Medicaid procedure code, with $635K in payments across 27K claims from 2018–2024. The national median cost per claim is $4.43. Costs vary widely — the 90th percentile is $136.83 per claim, 30.9× the median.

Total Paid

$635K

0.00% of all spending

Total Claims

27K

Providers

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for A4354? Based on 21 providers billing this code nationally.

Median

$4.43

Average

$49.46

Std Dev

$124.04

Max

$554.44

Percentile Distribution (Cost per Claim)

p10

$0.58

p25

$1.20

Median

$4.43

p75

$22.14

p90

$136.83

p95

$166.25

p99

$476.80

50% of providers bill between $1.20 and $22.14 per claim for this code.

90% bill between $0.58 and $136.83.

Top 1% bill above $476.80.

About This Procedure

HCPCS code A4354 (Insertion tray with drainage bag, with indwelling catheter) was billed by 23 providers across 27K claims, totaling $635K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.43

Providers Billing

National Spending

$635K

Avg/Median Ratio

11.16×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4354

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$269K	$136.83	30.9× median	Above 75th
2	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$141K	$52.78	11.9× median	Above 75th
3	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$118K	$554.44	125.2× median	Top 1%
4	1275851800	$42K	$15.79	3.6× median	Above Median
5	1649244138	$30K	$13.37	3.0× median	Above Median
6	1013124213	$12K	$1.20	0.3× median	Below Median
7	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$9K	$36.47	8.2× median	Above 75th
8	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$6K	$4.43	1.0× median	Below Median
9	1992891238	$3K	$166.25	37.5× median	Top 10%
10	1053347344	$2K	$0.60	0.1× median	Below Median
11	1376916379	$892	$2.65	0.6× median	Below Median
12	1851489702	$859	$15.62	3.5× median	Above Median
13	1063771798	$762	$1.13	0.3× median	Below Median
14	1104912732	$732	$2.45	0.6× median	Below Median
15	1164756755	$596	$0.58	0.1× median	Below Median
16	1881698439	$442	$3.88	0.9× median	Below Median
17	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$310	$22.14	5.0× median	Above Median
18	1700958857	$193	$5.21	1.2× median	Above Median
19	1366440968	$60	$0.50	0.1× median	Below Median
20	1609024397	$54	$2.01	0.5× median	Below Median

Showing top 20 of 23 providers billing this code

Related Procedures

A4353Intermittent urinary catheter, with insertion supplies$427.7M A4351Intermittent urinary catheter, straight tip, each$263.0M A4352Intermittent urinary catheter, Coude tip, each$71.5M A4362$21.0M A4357Bedside drainage bag, day or night$13.1M

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