#4725 of 11K

A4663

HCPCS Procedure Code

HCPCS code A4663 is the #4,725 most-billed Medicaid procedure code, with $431K in payments across 44K claims from 2018–2024. The national median cost per claim is $6.19. Costs vary widely — the 90th percentile is $20.94 per claim, 3.4× the median.

Total Paid

$431K

0.00% of all spending

Total Claims

44K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for A4663? Based on 35 providers billing this code nationally.

Median

$6.19

Average

$8.99

Std Dev

$8.36

Max

$30.08

Percentile Distribution (Cost per Claim)

p10

$0.39

p25

$2.19

Median

$6.19

p75

$14.25

p90

$20.94

p95

$23.55

p99

$28.72

50% of providers bill between $2.19 and $14.25 per claim for this code.

90% bill between $0.39 and $20.94.

Top 1% bill above $28.72.

About This Procedure

HCPCS code A4663 was billed by 42 providers across 44K claims, totaling $431K in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.19

Providers Billing

National Spending

$431K

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4663

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$341K	$20.96	3.4× median	Top 10%
2	1053364695	$18K	$15.20	2.5× median	Above 75th
3	1831200294	$17K	$20.91	3.4× median	Above 75th
4	1063487304	$16K	$11.20	1.8× median	Above Median
5	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$9K	$5.84	0.9× median	Below Median
6	1023014354	$7K	$13.91	2.2× median	Above Median
7	1821159195	$3K	$5.57	0.9× median	Below Median
8	1215396775	$2K	$2.80	0.5× median	Below Median
9	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$2K	$3.49	0.6× median	Below Median
10	1144358839	$2K	$18.74	3.0× median	Above 75th
11	1629072665	$2K	$9.38	1.5× median	Above Median
12	1992809586	$1K	$4.64	0.7× median	Below Median
13	1093720633	$1K	$9.64	1.6× median	Above Median
14	1760801963	$1K	$9.49	1.5× median	Above Median
15	1184777286	$952	$6.39	1.0× median	Above Median
16	1396446134	$913	$26.08	4.2× median	Top 10%
17	1467879718	$898	$10.95	1.8× median	Above Median
18	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$791	$0.39	0.1× median	Below Median
19	1942266473	$640	$2.95	0.5× median	Below Median
20	1144207911	$511	$14.59	2.4× median	Above 75th

Showing top 20 of 42 providers billing this code

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