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#2163 of 11K

A4456

HCPCS Procedure Code

HCPCS code A4456 is the #2,163 most-billed Medicaid procedure code, with $8.3M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $6.74.

Total Paid

$8.3M

0.00% of all spending

Total Claims

1.2M

Providers

338

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for A4456? Based on 335 providers billing this code nationally.

Median

$6.74

Average

$7.55

Std Dev

$6.49

Max

$81.39

Percentile Distribution (Cost per Claim)

p10
$1.70
p25
$4.17
Median
$6.74
p75
$9.70
p90
$12.25
p95
$16.77
p99
$29.28

50% of providers bill between $4.17 and $9.70 per claim for this code.

90% bill between $1.70 and $12.25.

Top 1% bill above $29.28.

About This Procedure

HCPCS code A4456 was billed by 338 providers across 1.2M claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.74

Providers Billing

335

National Spending

$8.3M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4456

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$728K
2Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$511K
3Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$335K
4Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$299K
51609024397$294K
61881698439$250K
7180 Medical Inc

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

$245K
8Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$230K
91649244138$220K
101003813064$217K
11Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$217K
121992891238$210K
131710932173$196K
14J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$191K
151346295953$156K
16Shield Denver Health Care Center Inc

Aurora, CO · Durable Medical Equipment & Medical Supplies

$126K
171962452755$121K
18H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$118K
191427139641$110K
20Binson's Hospital Supplies, Inc.

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

$104K

Showing top 20 of 338 providers billing this code