#2346 of 11K

A4419

HCPCS Procedure Code

HCPCS code A4419 is the #2,346 most-billed Medicaid procedure code, with $6.5M in payments across 144K claims from 2018–2024. The national median cost per claim is $42.19.

Total Paid

$6.5M

0.00% of all spending

Total Claims

144K

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for A4419? Based on 72 providers billing this code nationally.

Median

$42.19

Average

$47.93

Std Dev

$30.98

Max

$168.12

Percentile Distribution (Cost per Claim)

p10

$10.75

p25

$30.87

Median

$42.19

p75

$60.49

p90

$81.30

p95

$98.90

p99

$148.86

50% of providers bill between $30.87 and $60.49 per claim for this code.

90% bill between $10.75 and $81.30.

Top 1% bill above $148.86.

About This Procedure

HCPCS code A4419 was billed by 73 providers across 144K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.19

Providers Billing

National Spending

$6.5M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4419

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$1.2M	$52.48	1.2× median	Above Median
2	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$551K	$76.85	1.8× median	Above 75th
3	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$445K	$48.48	1.1× median	Above Median
4	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$412K	$81.49	1.9× median	Top 10%
5	1609024397	$381K	$50.92	1.2× median	Above Median
6	1710932173	$333K	$65.46	1.6× median	Above 75th
7	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$293K	$60.12	1.4× median	Above Median
8	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$248K	$34.74	0.8× median	Below Median
9	1649244138	$230K	$27.03	0.6× median	Below Median
10	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$225K	$33.75	0.8× median	Below Median
11	1992891238	$175K	$38.36	0.9× median	Below Median
12	1023063641	$170K	$55.51	1.3× median	Above Median
13	1346295953	$153K	$43.26	1.0× median	Above Median
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$139K	$27.52	0.7× median	Below Median
15	1902055445	$135K	$51.44	1.2× median	Above Median
16	1881698439	$134K	$31.06	0.7× median	Below Median
17	1427139641	$131K	$50.62	1.2× median	Above Median
18	1922006741	$114K	$98.20	2.3× median	Top 10%
19	1023438538	$92K	$46.44	1.1× median	Above Median
20	Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies	$81K	$61.62	1.5× median	Above 75th

Showing top 20 of 73 providers billing this code

Related Procedures

A4409$46.2M A4425$26.1M A4414$19.6M A4424$5.8M A4410$3.2M

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