#2740 of 11K

A4389

HCPCS Procedure Code

HCPCS code A4389 is the #2,740 most-billed Medicaid procedure code, with $3.9M in payments across 54K claims from 2018–2024. The national median cost per claim is $67.36.

Total Paid

$3.9M

0.00% of all spending

Total Claims

54K

Providers

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for A4389? Based on 36 providers billing this code nationally.

Median

$67.36

Average

$72.33

Std Dev

$28.01

Max

$180.92

Percentile Distribution (Cost per Claim)

p10

$46.53

p25

$52.16

Median

$67.36

p75

$80.12

p90

$106.12

p95

$116.96

p99

$159.54

50% of providers bill between $52.16 and $80.12 per claim for this code.

90% bill between $46.53 and $106.12.

Top 1% bill above $159.54.

About This Procedure

HCPCS code A4389 was billed by 36 providers across 54K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.36

Providers Billing

National Spending

$3.9M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4389

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$699K	$68.53	1.0× median	Above Median
2	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$668K	$73.55	1.1× median	Above Median
3	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$283K	$66.20	1.0× median	Below Median
4	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$269K	$180.92	2.7× median	Top 1%
5	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$253K	$114.55	1.7× median	Top 10%
6	1649244138	$183K	$42.08	0.6× median	Below Median
7	1710932173	$144K	$78.52	1.2× median	Above Median
8	1346295953	$143K	$64.02	1.0× median	Below Median
9	1568083087	$134K	$79.31	1.2× median	Above Median
10	1427139641	$133K	$119.84	1.8× median	Top 10%
11	1881698439	$131K	$54.00	0.8× median	Below Median
12	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$127K	$63.54	0.9× median	Below Median
13	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$114K	$89.60	1.3× median	Above 75th
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$109K	$47.73	0.7× median	Below Median
15	1992891238	$86K	$45.34	0.7× median	Below Median
16	1609024397	$75K	$56.66	0.8× median	Below Median
17	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$67K	$83.02	1.2× median	Above 75th
18	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$67K	$80.43	1.2× median	Above 75th
19	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$44K	$74.36	1.1× median	Above Median
20	1942503180	$40K	$49.77	0.7× median	Below Median

Showing top 20 of 36 providers billing this code

Related Procedures

A4385$57.3M A4394$8.9M A4388$4.3M A4390$3.0M A4383$1.1M

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