A4931
HCPCS Procedure Code
HCPCS code A4931 is the #7,620 most-billed Medicaid procedure code, with $13K in payments across 2K claims from 2018–2024. The national median cost per claim is $9.14.
Total Paid
$13K
0.00% of all spending
Total Claims
2K
Providers
14
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for A4931? Based on 13 providers billing this code nationally.
Median
$9.14
Average
$7.49
Std Dev
$3.36
Max
$10.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.88 and $9.80 per claim for this code.
90% bill between $1.96 and $9.80.
Top 1% bill above $9.98.
About This Procedure
HCPCS code A4931 was billed by 14 providers across 2K claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.14
Providers Billing
13
National Spending
$13K
Avg/Median Ratio
0.82×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4931
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194367326 | $4K |
| 2 | 1144207911 | $3K |
| 3 | 1538334222 | $2K |
| 4 | 1023650256 | $1K |
| 5 | 1821768284 | $482 |
| 6 | 1558081042 | $382 |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $347 |
| 8 | 1821531922 | $320 |
| 9 | 1861808826 | $320 |
| 10 | 1174745335 | $199 |
| 11 | 1104290303 | $158 |
| 12 | 1245986876 | $118 |
| 13 | Integra Partners Llc Troy, MI · Orthotic Fitter | $5 |
| 14 | 1396201752 | $0 |
Showing top 14 of 14 providers billing this code