#3432 of 11K

A4430

HCPCS Procedure Code

HCPCS code A4430 is the #3,432 most-billed Medicaid procedure code, with $1.7M in payments across 23K claims from 2018–2024. The national median cost per claim is $64.95. Costs vary widely — the 90th percentile is $148.28 per claim, 2.3× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

23K

Providers

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for A4430? Based on 21 providers billing this code nationally.

Median

$64.95

Average

$86.90

Std Dev

$69.16

Max

$339.24

Percentile Distribution (Cost per Claim)

p10

$37.83

p25

$52.23

Median

$64.95

p75

$78.82

p90

$148.28

p95

$189.05

p99

$309.20

50% of providers bill between $52.23 and $78.82 per claim for this code.

90% bill between $37.83 and $148.28.

Top 1% bill above $309.20.

About This Procedure

HCPCS code A4430 was billed by 21 providers across 23K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$64.95

Providers Billing

National Spending

$1.7M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4430

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$359K	$65.69	1.0× median	Above Median
2	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$357K	$189.05	2.9× median	Top 10%
3	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$234K	$148.28	2.3× median	Top 10%
4	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$142K	$62.31	1.0× median	Below Median
5	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$97K	$37.83	0.6× median	Below Median
6	1649244138	$85K	$34.73	0.5× median	Below Median
7	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$72K	$62.88	1.0× median	Below Median
8	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$59K	$52.04	0.8× median	Below Median
9	1922006741	$53K	$115.49	1.8× median	Above 75th
10	1710932173	$49K	$78.82	1.2× median	Above Median
11	1881698439	$46K	$54.55	0.8× median	Below Median
12	1609024397	$37K	$51.20	0.8× median	Below Median
13	1346295953	$30K	$78.02	1.2× median	Above Median
14	1992891238	$29K	$64.95	1.0× median	Above Median
15	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$20K	$52.23	0.8× median	Below Median
16	1477534717	$20K	$78.32	1.2× median	Above Median
17	1467879718	$14K	$339.24	5.2× median	Top 1%
18	1023063641	$5K	$53.32	0.8× median	Below Median
19	Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies	$2K	$77.02	1.2× median	Above Median
20	1427139641	$2K	$100.09	1.5× median	Above 75th

Showing top 20 of 21 providers billing this code

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A4425$26.1M A4424$5.8M A4432$4.5M A4427$1.8M A4428$697K

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