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#2431 of 11K

A4424

HCPCS Procedure Code

HCPCS code A4424 is the #2,431 most-billed Medicaid procedure code, with $5.8M in payments across 102K claims from 2018–2024. The national median cost per claim is $52.64.

Total Paid

$5.8M

0.00% of all spending

Total Claims

102K

Providers

63

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for A4424? Based on 63 providers billing this code nationally.

Median

$52.64

Average

$58.64

Std Dev

$42.88

Max

$313.56

Percentile Distribution (Cost per Claim)

p10
$19.46
p25
$42.37
Median
$52.64
p75
$65.38
p90
$82.96
p95
$126.42
p99
$209.77

50% of providers bill between $42.37 and $65.38 per claim for this code.

90% bill between $19.46 and $82.96.

Top 1% bill above $209.77.

About This Procedure

HCPCS code A4424 was billed by 63 providers across 102K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.64

Providers Billing

63

National Spending

$5.8M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4424

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$1.0M
2Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$907K
3Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$339K
4Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$302K
51649244138$290K
6180 Medical Inc

Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment

$259K
71427139641$200K
8Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$199K
9Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$198K
101346295953$186K
111710932173$185K
12H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$158K
131992891238$156K
141881698439$135K
15Binson's Hospital Supplies, Inc.

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

$132K
161609024397$131K
17Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$126K
18Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$124K
191124132154$85K
20J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$70K

Showing top 20 of 63 providers billing this code