A4385
HCPCS Procedure Code
HCPCS code A4385 is the #928 most-billed Medicaid procedure code, with $57.3M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $49.51.
Total Paid
$57.3M
0.01% of all spending
Total Claims
1.0M
Providers
273
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for A4385? Based on 269 providers billing this code nationally.
Median
$49.51
Average
$56.51
Std Dev
$40.23
Max
$275.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.67 and $74.45 per claim for this code.
90% bill between $15.36 and $98.99.
Top 1% bill above $200.49.
About This Procedure
HCPCS code A4385 was billed by 273 providers across 1.0M claims, totaling $57.3M in Medicaid payments from 2018–2024. This code was used for 881K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.51
Providers Billing
269
National Spending
$57.3M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4385
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $7.7M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $5.2M |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $4.2M |
| 4 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $3.2M |
| 5 | 1609024397 | $2.4M |
| 6 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $1.5M |
| 7 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $1.5M |
| 8 | 1710932173 | $1.5M |
| 9 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $1.3M |
| 10 | 1992891238 | $1.3M |
| 11 | 1881698439 | $1.3M |
| 12 | 1922006741 | $1.1M |
| 13 | 1649244138 | $1.1M |
| 14 | 1346295953 | $1.0M |
| 15 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $817K |
| 16 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $803K |
| 17 | 1427139641 | $802K |
| 18 | 1023438538 | $720K |
| 19 | 1275647299 | $623K |
| 20 | 1386688414 | $600K |
Showing top 20 of 273 providers billing this code