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#4386 of 11K

A4625

HCPCS Procedure Code

HCPCS code A4625 is the #4,386 most-billed Medicaid procedure code, with $619K in payments across 8K claims from 2018–2024. The national median cost per claim is $51.02. Costs vary widely — the 90th percentile is $121.14 per claim, 2.4× the median.

Total Paid

$619K

0.00% of all spending

Total Claims

8K

Providers

5

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for A4625? Based on 5 providers billing this code nationally.

Median

$51.02

Average

$68.76

Std Dev

$48.46

Max

$136.56

Percentile Distribution (Cost per Claim)

p10
$26.00
p25
$44.60
Median
$51.02
p75
$98.02
p90
$121.14
p95
$128.85
p99
$135.01

50% of providers bill between $44.60 and $98.02 per claim for this code.

90% bill between $26.00 and $121.14.

Top 1% bill above $135.01.

About This Procedure

HCPCS code A4625 was billed by 5 providers across 8K claims, totaling $619K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$51.02

Providers Billing

5

National Spending

$619K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4625

#ProviderTotal Paid
11508885617$473K
21306961792$97K
31881932424$41K
4Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$6K
5Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$3K

Showing top 5 of 5 providers billing this code