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#3406 of 11K

A4648

HCPCS Procedure Code

HCPCS code A4648 is the #3,406 most-billed Medicaid procedure code, with $1.8M in payments across 61K claims from 2018–2024. The national median cost per claim is $29.29. Costs vary widely — the 90th percentile is $130.29 per claim, 4.4× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

61K

Providers

203

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for A4648? Based on 108 providers billing this code nationally.

Median

$29.29

Average

$61.78

Std Dev

$109.16

Max

$843.42

Percentile Distribution (Cost per Claim)

p10
$0.23
p25
$2.61
Median
$29.29
p75
$79.30
p90
$130.29
p95
$228.05
p99
$492.17

50% of providers bill between $2.61 and $79.30 per claim for this code.

90% bill between $0.23 and $130.29.

Top 1% bill above $492.17.

About This Procedure

HCPCS code A4648 was billed by 203 providers across 61K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.29

Providers Billing

108

National Spending

$1.8M

Avg/Median Ratio

2.11×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4648

#ProviderTotal Paid
11366459570$447K
2Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$156K
3Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$115K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$110K
51477616571$77K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$67K
71407877137$66K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$66K
9Spartanburg Medical Center

Spartanburg, SC · Ambulance

$62K
10Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$55K
11Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$54K
12Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$53K
13Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$43K
141538244918$37K
15St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$35K
161639143381$21K
171134194038$17K
18Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$16K
191134178999$15K
20University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$14K

Showing top 20 of 203 providers billing this code