#2992 of 11K

A4373

HCPCS Procedure Code

HCPCS code A4373 is the #2,992 most-billed Medicaid procedure code, with $2.8M in payments across 47K claims from 2018–2024. The national median cost per claim is $60.26.

Total Paid

$2.8M

0.00% of all spending

Total Claims

47K

Providers

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for A4373? Based on 37 providers billing this code nationally.

Median

$60.26

Average

$60.81

Std Dev

$27.15

Max

$123.58

Percentile Distribution (Cost per Claim)

p10

$34.54

p25

$45.50

Median

$60.26

p75

$80.83

p90

$87.71

p95

$94.83

p99

$122.21

50% of providers bill between $45.50 and $80.83 per claim for this code.

90% bill between $34.54 and $87.71.

Top 1% bill above $122.21.

About This Procedure

HCPCS code A4373 was billed by 37 providers across 47K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$60.26

Providers Billing

National Spending

$2.8M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4373

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$601K	$67.89	1.1× median	Above Median
2	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$596K	$58.27	1.0× median	Below Median
3	1649244138	$230K	$47.81	0.8× median	Below Median
4	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$139K	$87.55	1.5× median	Above 75th
5	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$136K	$119.77	2.0× median	Top 10%
6	1710932173	$126K	$74.74	1.2× median	Above Median
7	1609024397	$122K	$88.60	1.5× median	Top 10%
8	1881698439	$117K	$43.00	0.7× median	Below Median
9	1568083087	$111K	$64.51	1.1× median	Above Median
10	1992891238	$98K	$46.47	0.8× median	Below Median
11	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$74K	$35.70	0.6× median	Below Median
12	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$71K	$59.25	1.0× median	Below Median
13	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$69K	$45.50	0.8× median	Below Median
14	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$66K	$72.44	1.2× median	Above Median
15	1427139641	$41K	$61.05	1.0× median	Above Median
16	1275851800	$40K	$66.49	1.1× median	Above Median
17	1023063641	$33K	$74.61	1.2× median	Above Median
18	1346295953	$25K	$47.94	0.8× median	Below Median
19	Integra Partners Llc Troy, MI · Orthotic Fitter	$19K	$80.83	1.3× median	Above 75th
20	1831207521	$19K	$73.39	1.2× median	Above Median

Showing top 20 of 37 providers billing this code

Related Procedures

A4371$2.7M A4367$1.3M A4383$1.1M A4369$892K A4376$639K

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