#2949 of 11K

A4390

HCPCS Procedure Code

HCPCS code A4390 is the #2,949 most-billed Medicaid procedure code, with $3.0M in payments across 33K claims from 2018–2024. The national median cost per claim is $76.33.

Total Paid

$3.0M

0.00% of all spending

Total Claims

33K

Providers

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for A4390? Based on 26 providers billing this code nationally.

Median

$76.33

Average

$83.69

Std Dev

$39.24

Max

$201.84

Percentile Distribution (Cost per Claim)

p10

$51.30

p25

$62.29

Median

$76.33

p75

$95.41

p90

$131.88

p95

$157.16

p99

$192.31

50% of providers bill between $62.29 and $95.41 per claim for this code.

90% bill between $51.30 and $131.88.

Top 1% bill above $192.31.

About This Procedure

HCPCS code A4390 was billed by 26 providers across 33K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$76.33

Providers Billing

National Spending

$3.0M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4390

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$737K	$78.15	1.0× median	Above Median
2	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$453K	$201.84	2.6× median	Top 1%
3	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$418K	$163.70	2.1× median	Top 10%
4	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$297K	$70.60	0.9× median	Below Median
5	1609024397	$139K	$76.17	1.0× median	Below Median
6	1649244138	$104K	$47.85	0.6× median	Below Median
7	1710932173	$102K	$96.16	1.3× median	Above 75th
8	1346295953	$98K	$98.68	1.3× median	Above 75th
9	1881698439	$97K	$64.14	0.8× median	Below Median
10	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$90K	$80.96	1.1× median	Above Median
11	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$71K	$57.40	0.8× median	Below Median
12	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$71K	$50.36	0.7× median	Below Median
13	1922006741	$56K	$137.52	1.8× median	Top 10%
14	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$56K	$103.08	1.4× median	Above 75th
15	1568083087	$40K	$64.48	0.8× median	Below Median
16	1548367063	$36K	$76.49	1.0× median	Above Median
17	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$30K	$70.59	0.9× median	Below Median
18	1992891238	$28K	$67.45	0.9× median	Below Median
19	1023063641	$15K	$88.52	1.2× median	Above Median
20	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$7K	$52.23	0.7× median	Below Median

Showing top 20 of 26 providers billing this code

Related Procedures

A4385$57.3M A4394$8.9M A4388$4.3M A4389$3.9M A4383$1.1M

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