A4628
HCPCS Procedure Code
HCPCS code A4628 is the #1,914 most-billed Medicaid procedure code, with $11.7M in payments across 927K claims from 2018–2024. The national median cost per claim is $7.48. Costs vary widely — the 90th percentile is $19.28 per claim, 2.6× the median.
Total Paid
$11.7M
0.00% of all spending
Total Claims
927K
Providers
410
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for A4628? Based on 405 providers billing this code nationally.
Median
$7.48
Average
$10.95
Std Dev
$13.02
Max
$137.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.86 and $11.83 per claim for this code.
90% bill between $2.80 and $19.28.
Top 1% bill above $65.50.
About This Procedure
HCPCS code A4628 was billed by 410 providers across 927K claims, totaling $11.7M in Medicaid payments from 2018–2024. This code was used for 813K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.48
Providers Billing
405
National Spending
$11.7M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4628
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649228909 | $772K |
| 2 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $707K |
| 3 | 1902829500 | $641K |
| 4 | 1811060544 | $556K |
| 5 | 1508885617 | $507K |
| 6 | 1861480048 | $440K |
| 7 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $304K |
| 8 | 1891094108 | $259K |
| 9 | 1083615991 | $226K |
| 10 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $216K |
| 11 | 1073692794 | $193K |
| 12 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $181K |
| 13 | The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies | $177K |
| 14 | 1477801439 | $171K |
| 15 | 1922103142 | $167K |
| 16 | 1942365598 | $160K |
| 17 | 1497831507 | $152K |
| 18 | 1871738153 | $152K |
| 19 | 1548360464 | $146K |
| 20 | 1275612673 | $139K |
Showing top 20 of 410 providers billing this code