#1208 of 11K

A4670

HCPCS Procedure Code

HCPCS code A4670 is the #1,208 most-billed Medicaid procedure code, with $33.3M in payments across 733K claims from 2018–2024. The national median cost per claim is $50.23.

Total Paid

$33.3M

0.00% of all spending

Total Claims

733K

Providers

637

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for A4670? Based on 624 providers billing this code nationally.

Median

$50.23

Average

$50.09

Std Dev

$20.72

Max

$292.19

Percentile Distribution (Cost per Claim)

p10

$29.14

p25

$40.35

Median

$50.23

p75

$59.19

p90

$64.82

p95

$80.90

p99

$107.53

50% of providers bill between $40.35 and $59.19 per claim for this code.

90% bill between $29.14 and $64.82.

Top 1% bill above $107.53.

About This Procedure

HCPCS code A4670 was billed by 637 providers across 733K claims, totaling $33.3M in Medicaid payments from 2018–2024. This code was used for 689K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.23

Providers Billing

624

National Spending

$33.3M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4670

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053364695	$2.0M	$62.55	1.2× median	Above 75th
2	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$1.6M	$40.44	0.8× median	Below Median
3	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$1.2M	$49.28	1.0× median	Below Median
4	1144207911	$1.0M	$95.03	1.9× median	Top 10%
5	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$924K	$38.77	0.8× median	Below Median
6	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$829K	$32.44	0.6× median	Below Median
7	Integra Partners Llc Troy, MI · Orthotic Fitter	$767K	$30.68	0.6× median	Below Median
8	1265526396	$614K	$36.84	0.7× median	Below Median
9	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$548K	$40.19	0.8× median	Below Median
10	1619988284	$534K	$50.95	1.0× median	Above Median
11	1215277496	$485K	$52.76	1.1× median	Above Median
12	1669570172	$482K	$52.72	1.0× median	Above Median
13	1629072665	$482K	$46.80	0.9× median	Below Median
14	Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$466K	$50.01	1.0× median	Below Median
15	1659365849	$427K	$48.65	1.0× median	Below Median
16	1922046085	$411K	$76.48	1.5× median	Top 10%
17	1245387943	$406K	$47.06	0.9× median	Below Median
18	1447567334	$373K	$54.48	1.1× median	Above Median
19	1922006741	$335K	$64.54	1.3× median	Above 75th
20	1265098719	$333K	$49.87	1.0× median	Below Median

Showing top 20 of 637 providers billing this code

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