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#3372 of 11K

A4427

HCPCS Procedure Code

HCPCS code A4427 is the #3,372 most-billed Medicaid procedure code, with $1.8M in payments across 61K claims from 2018–2024. The national median cost per claim is $27.95.

Total Paid

$1.8M

0.00% of all spending

Total Claims

61K

Providers

39

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for A4427? Based on 39 providers billing this code nationally.

Median

$27.95

Average

$29.85

Std Dev

$10.28

Max

$66.80

Percentile Distribution (Cost per Claim)

p10
$20.98
p25
$23.95
Median
$27.95
p75
$32.41
p90
$40.96
p95
$46.49
p99
$63.65

50% of providers bill between $23.95 and $32.41 per claim for this code.

90% bill between $20.98 and $40.96.

Top 1% bill above $63.65.

About This Procedure

HCPCS code A4427 was billed by 39 providers across 61K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.95

Providers Billing

39

National Spending

$1.8M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4427

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$465K
2Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$154K
31992891238$153K
4Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$117K
51649244138$98K
6Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$96K
71881698439$91K
81710932173$85K
91609024397$61K
101346295953$58K
11Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$49K
12Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$38K
131275851800$37K
14Binson's Hospital Supplies, Inc.

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

$34K
15Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$30K
16Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$28K
171427139641$27K
181205837879$25K
191023063641$19K
201023438538$18K

Showing top 20 of 39 providers billing this code