A4570
HCPCS Procedure Code
HCPCS code A4570 is the #5,824 most-billed Medicaid procedure code, with $132K in payments across 21K claims from 2018–2024. The national median cost per claim is $6.68. Costs vary widely — the 90th percentile is $18.10 per claim, 2.7× the median.
Total Paid
$132K
0.00% of all spending
Total Claims
21K
Providers
49
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for A4570? Based on 36 providers billing this code nationally.
Median
$6.68
Average
$7.69
Std Dev
$7.89
Max
$32.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.48 and $9.40 per claim for this code.
90% bill between $0.09 and $18.10.
Top 1% bill above $30.24.
About This Procedure
HCPCS code A4570 was billed by 49 providers across 21K claims, totaling $132K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.68
Providers Billing
36
National Spending
$132K
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4570
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689603748 | $28K |
| 2 | 1346248341 | $24K |
| 3 | 1891787594 | $15K |
| 4 | 1902080005 | $13K |
| 5 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $13K |
| 6 | 1235196510 | $7K |
| 7 | 1376627224 | $6K |
| 8 | 1326048893 | $5K |
| 9 | 1003885799 | $5K |
| 10 | 1215229901 | $3K |
| 11 | Albert Einstein Medical Center Phila, PA · Rehabilitation Unit | $2K |
| 12 | 1861573685 | $2K |
| 13 | 1952552267 | $1K |
| 14 | 1407834369 | $1K |
| 15 | 1841728979 | $928 |
| 16 | 1851722417 | $856 |
| 17 | 1942300918 | $679 |
| 18 | 1093034811 | $618 |
| 19 | 1073565610 | $491 |
| 20 | 1649244138 | $486 |
Showing top 20 of 49 providers billing this code