A4630
HCPCS Procedure Code
HCPCS code A4630 is the #3,381 most-billed Medicaid procedure code, with $1.8M in payments across 254K claims from 2018–2024. The national median cost per claim is $2.73. Costs vary widely — the 90th percentile is $7.36 per claim, 2.7× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
254K
Providers
21
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for A4630? Based on 18 providers billing this code nationally.
Median
$2.73
Average
$7.71
Std Dev
$19.62
Max
$85.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.96 and $4.47 per claim for this code.
90% bill between $0.56 and $7.36.
Top 1% bill above $72.61.
About This Procedure
HCPCS code A4630 was billed by 21 providers across 254K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 206K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.73
Providers Billing
18
National Spending
$1.8M
Avg/Median Ratio
2.82×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4630
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770511552 | $1.6M |
| 2 | 1629167028 | $106K |
| 3 | 1124336722 | $73K |
| 4 | 1932537941 | $54K |
| 5 | Integra Partners Llc Troy, MI · Orthotic Fitter | $6K |
| 6 | 1285025973 | $5K |
| 7 | 1780667824 | $4K |
| 8 | 1437196557 | $3K |
| 9 | 1306849229 | $1K |
| 10 | 1780902940 | $791 |
| 11 | 1093999039 | $562 |
| 12 | 1689750564 | $142 |
| 13 | 1962851378 | $101 |
| 14 | 1932332764 | $100 |
| 15 | 1154436962 | $58 |
| 16 | 1447712518 | $57 |
| 17 | 1942238514 | $32 |
| 18 | 1164923298 | $18 |
| 19 | 1558740282 | $0 |
| 20 | 1386957983 | $0 |
Showing top 20 of 21 providers billing this code