A4409
HCPCS Procedure Code
HCPCS code A4409 is the #1,044 most-billed Medicaid procedure code, with $46.2M in payments across 704K claims from 2018–2024. The national median cost per claim is $61.38.
Total Paid
$46.2M
0.00% of all spending
Total Claims
704K
Providers
231
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for A4409? Based on 226 providers billing this code nationally.
Median
$61.38
Average
$67.61
Std Dev
$48.05
Max
$317.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.74 and $81.79 per claim for this code.
90% bill between $14.59 and $118.23.
Top 1% bill above $269.97.
About This Procedure
HCPCS code A4409 was billed by 231 providers across 704K claims, totaling $46.2M in Medicaid payments from 2018–2024. This code was used for 618K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$61.38
Providers Billing
226
National Spending
$46.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4409
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $6.2M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $4.5M |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $2.6M |
| 4 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $1.8M |
| 5 | 1609024397 | $1.8M |
| 6 | 1649244138 | $1.5M |
| 7 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $1.5M |
| 8 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $1.3M |
| 9 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $1.2M |
| 10 | 1710932173 | $939K |
| 11 | 1881698439 | $933K |
| 12 | 1992891238 | $932K |
| 13 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $910K |
| 14 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $811K |
| 15 | 1386688414 | $791K |
| 16 | 1801899414 | $786K |
| 17 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $749K |
| 18 | 1275647299 | $706K |
| 19 | 1427139641 | $629K |
| 20 | 1902055445 | $589K |
Showing top 20 of 231 providers billing this code