#1721 of 11K

A4452

HCPCS Procedure Code

HCPCS code A4452 is the #1,721 most-billed Medicaid procedure code, with $15.5M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $9.98. Costs vary widely — the 90th percentile is $24.76 per claim, 2.5× the median.

Total Paid

$15.5M

0.00% of all spending

Total Claims

1.2M

Providers

442

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for A4452? Based on 430 providers billing this code nationally.

Median

$9.98

Average

$15.53

Std Dev

$37.03

Max

$648.58

Percentile Distribution (Cost per Claim)

p10

$1.80

p25

$5.64

Median

$9.98

p75

$17.69

p90

$24.76

p95

$36.34

p99

$95.19

50% of providers bill between $5.64 and $17.69 per claim for this code.

90% bill between $1.80 and $24.76.

Top 1% bill above $95.19.

About This Procedure

HCPCS code A4452 was billed by 442 providers across 1.2M claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.98

Providers Billing

430

National Spending

$15.5M

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4452

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$1.1M	$22.45	2.2× median	Above 75th
2	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$1.0M	$17.17	1.7× median	Above Median
3	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$930K	$15.60	1.6× median	Above Median
4	1013124213	$876K	$6.84	0.7× median	Below Median
5	1548367063	$791K	$10.23	1.0× median	Above Median
6	1649244138	$440K	$10.79	1.1× median	Above Median
7	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$392K	$10.71	1.1× median	Above Median
8	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$347K	$11.54	1.2× median	Above Median
9	1457772535	$286K	$216.21	21.7× median	Top 1%
10	1306961792	$275K	$14.92	1.5× median	Above Median
11	1710932173	$227K	$11.18	1.1× median	Above Median
12	1023054871	$223K	$21.62	2.2× median	Above 75th
13	1902137409	$211K	$6.86	0.7× median	Below Median
14	1912145541	$208K	$14.08	1.4× median	Above Median
15	1679653356	$206K	$19.87	2.0× median	Above 75th
16	1609024397	$196K	$17.65	1.8× median	Above Median
17	1295800068	$195K	$23.13	2.3× median	Above 75th
18	1275703084	$191K	$20.47	2.1× median	Above 75th
19	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$185K	$19.18	1.9× median	Above 75th
20	1730174764	$179K	$8.46	0.8× median	Below Median

Showing top 20 of 442 providers billing this code

Related Procedures

A4456$8.3M A4453$7.5M A4459Manual wheelchair accessory, not otherwise specified$5.8M A4450$4.1M A4455$465K

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