A4575
HCPCS Procedure Code
HCPCS code A4575 is the #758 most-billed Medicaid procedure code, with $87.5M in payments across 17K claims from 2018–2024. The national median cost per claim is $5,121.65.
Total Paid
$87.5M
0.01% of all spending
Total Claims
17K
Providers
8
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for A4575? Based on 8 providers billing this code nationally.
Median
$5,121.65
Average
$5,090.57
Std Dev
$1,096.23
Max
$6,310.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $4,900.21 and $5,862.32 per claim for this code.
90% bill between $4,129.45 and $6,022.52.
Top 1% bill above $6,281.37.
About This Procedure
HCPCS code A4575 was billed by 8 providers across 17K claims, totaling $87.5M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5,121.65
Providers Billing
8
National Spending
$87.5M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4575
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841380540 | $50.1M |
| 2 | Integra Partners Llc Troy, MI · Orthotic Fitter | $15.1M |
| 3 | 1407169006 | $11.0M |
| 4 | 1669635173 | $8.1M |
| 5 | 1912651860 | $1.8M |
| 6 | 1548340532 | $1.0M |
| 7 | 1780629329 | $213K |
| 8 | 1467826263 | $70K |
Showing top 8 of 8 providers billing this code