A4394
HCPCS Procedure Code
HCPCS code A4394 is the #2,103 most-billed Medicaid procedure code, with $8.9M in payments across 579K claims from 2018–2024. The national median cost per claim is $12.65. Costs vary widely — the 90th percentile is $26.01 per claim, 2.1× the median.
Total Paid
$8.9M
0.00% of all spending
Total Claims
579K
Providers
178
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for A4394? Based on 176 providers billing this code nationally.
Median
$12.65
Average
$13.96
Std Dev
$9.99
Max
$75.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.16 and $18.82 per claim for this code.
90% bill between $2.14 and $26.01.
Top 1% bill above $37.84.
About This Procedure
HCPCS code A4394 was billed by 178 providers across 579K claims, totaling $8.9M in Medicaid payments from 2018–2024. This code was used for 512K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.65
Providers Billing
176
National Spending
$8.9M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4394
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $930K |
| 2 | 1609024397 | $661K |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $578K |
| 4 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $565K |
| 5 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $472K |
| 6 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $349K |
| 7 | 1881698439 | $346K |
| 8 | 1710932173 | $287K |
| 9 | 1992891238 | $269K |
| 10 | 1023438538 | $247K |
| 11 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $238K |
| 12 | 1649244138 | $232K |
| 13 | 1346295953 | $209K |
| 14 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $200K |
| 15 | 1902055445 | $157K |
| 16 | 1922006741 | $154K |
| 17 | 1679653356 | $132K |
| 18 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $129K |
| 19 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $120K |
| 20 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $107K |
Showing top 20 of 178 providers billing this code