A5055
Ostomy skin barrier, with flange, each
Ostomy skin barrier, with flange, each is the #5,564 most-billed Medicaid procedure code, with $176K in payments across 7,554 claims from 2018–2024. The national median cost per claim is $22.83.
Total Paid
$176K
0.00% of all spending
Total Claims
7,554
Providers
10
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for A5055? Based on 10 providers billing this code nationally.
Median
$22.83
Average
$25.07
Std Dev
$14.10
Max
$50.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.91 and $33.40 per claim for this code.
90% bill between $11.39 and $40.80.
Top 1% bill above $49.69.
About This Procedure
HCPCS code A5055 (Ostomy skin barrier, with flange, each) was billed by 10 providers across 7,554 claims, totaling $176K in Medicaid payments from 2018–2024. This code was used for 6,645 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.83
Providers Billing
10
National Spending
$176K
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5055
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $79K |
| 2 | 1881698439 | $63K |
| 3 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $15K |
| 4 | 1609024397 | $8K |
| 5 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $6K |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $3K |
| 7 | 1508869918 | $728 |
| 8 | 1992891238 | $613 |
| 9 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $558 |
| 10 | 1649353335 | $17 |
Showing top 10 of 10 providers billing this code