#3730 of 11K

A4618

HCPCS Procedure Code

HCPCS code A4618 is the #3,730 most-billed Medicaid procedure code, with $1.3M in payments across 94K claims from 2018–2024. The national median cost per claim is $11.71.

Total Paid

$1.3M

0.00% of all spending

Total Claims

94K

Providers

110

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for A4618? Based on 99 providers billing this code nationally.

Median

$11.71

Average

$13.64

Std Dev

$12.56

Max

$91.01

Percentile Distribution (Cost per Claim)

p10

$2.29

p25

$5.21

Median

$11.71

p75

$17.39

p90

$23.14

p95

$32.49

p99

$53.45

50% of providers bill between $5.21 and $17.39 per claim for this code.

90% bill between $2.29 and $23.14.

Top 1% bill above $53.45.

About This Procedure

HCPCS code A4618 was billed by 110 providers across 94K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.71

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4618

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1689904146	$100K	$91.01	7.8× median	Top 1%
2	Los Ninos Hospital Inc Phoenix, AZ · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$79K	$17.34	1.5× median	Above Median
3	1306961792	$75K	$20.46	1.7× median	Above 75th
4	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$74K	$36.65	3.1× median	Top 10%
5	1033289889	$73K	$44.65	3.8× median	Top 10%
6	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$70K	$24.36	2.1× median	Top 10%
7	1942291463	$61K	$24.17	2.1× median	Top 10%
8	1013915933	$51K	$11.26	1.0× median	Below Median
9	1780663823	$46K	$14.16	1.2× median	Above Median
10	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$43K	$20.40	1.7× median	Above 75th
11	1649228909	$38K	$17.22	1.5× median	Above Median
12	1386688414	$37K	$14.09	1.2× median	Above Median
13	1407894348	$29K	$17.78	1.5× median	Above 75th
14	1821158692	$27K	$16.96	1.4× median	Above Median
15	1306849229	$26K	$4.66	0.4× median	Below Median
16	1144268475	$25K	$10.69	0.9× median	Below Median
17	1336166347	$24K	$12.27	1.0× median	Above Median
18	1164486445	$24K	$19.91	1.7× median	Above 75th
19	1104912732	$21K	$11.45	1.0× median	Below Median
20	1164612040	$17K	$32.03	2.7× median	Top 10%

Showing top 20 of 110 providers billing this code

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A4624$98.4M A4623$20.0M A4627$18.6M A4628$11.7M A4625$619K

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