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#5730 of 11K

A4398

HCPCS Procedure Code

HCPCS code A4398 is the #5,730 most-billed Medicaid procedure code, with $148K in payments across 11K claims from 2018–2024. The national median cost per claim is $9.50. Costs vary widely — the 90th percentile is $23.08 per claim, 2.4× the median.

Total Paid

$148K

0.00% of all spending

Total Claims

11K

Providers

14

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for A4398? Based on 14 providers billing this code nationally.

Median

$9.50

Average

$15.76

Std Dev

$18.51

Max

$75.84

Percentile Distribution (Cost per Claim)

p10
$4.12
p25
$7.06
Median
$9.50
p75
$18.41
p90
$23.08
p95
$41.92
p99
$69.06

50% of providers bill between $7.06 and $18.41 per claim for this code.

90% bill between $4.12 and $23.08.

Top 1% bill above $69.06.

About This Procedure

HCPCS code A4398 was billed by 14 providers across 11K claims, totaling $148K in Medicaid payments from 2018–2024. This code was used for 9,972 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.50

Providers Billing

14

National Spending

$148K

Avg/Median Ratio

1.66×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4398

#ProviderTotal Paid
1J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$45K
2Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$25K
31760425011$25K
41801866173$20K
5Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$11K
6Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$10K
71114905163$4K
8Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$3K
91366704579$2K
101598754467$1K
111649244138$747
121417955170$587
13Nationwide Children's Hospital

Columbus, OH · Durable Medical Equipment & Medical Supplies

$551
14Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$99

Showing top 14 of 14 providers billing this code