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#1188 of 11K

A6210

HCPCS Procedure Code

HCPCS code A6210 is the #1,188 most-billed Medicaid procedure code, with $34.5M in payments across 188K claims from 2018–2024. The national median cost per claim is $163.78. Costs vary widely — the 90th percentile is $403.99 per claim, 2.5× the median.

Total Paid

$34.5M

0.00% of all spending

Total Claims

188K

Providers

133

Avg Cost/Claim

$183

National Cost Distribution

How much do providers bill per claim for A6210? Based on 119 providers billing this code nationally.

Median

$163.78

Average

$208.46

Std Dev

$215.26

Max

$1,698.37

Percentile Distribution (Cost per Claim)

p10
$8.34
p25
$75.89
Median
$163.78
p75
$273.44
p90
$403.99
p95
$570.84
p99
$737.44

50% of providers bill between $75.89 and $273.44 per claim for this code.

90% bill between $8.34 and $403.99.

Top 1% bill above $737.44.

About This Procedure

HCPCS code A6210 was billed by 133 providers across 188K claims, totaling $34.5M in Medicaid payments from 2018–2024. This code was used for 156K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$163.78

Providers Billing

119

National Spending

$34.5M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6210

#ProviderTotal Paid
11649244138$6.2M
2Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$2.4M
3Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$1.9M
41861480048$1.7M
5Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$1.4M
61548367063$1.2M
71609024397$1.2M
8Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$1.1M
9Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$1.0M
101710932173$933K
111902137409$905K
12Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$862K
13Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$831K
14Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$765K
151275703084$629K
161427139641$594K
171013124213$559K
181679653356$529K
19The Promptcare Companies, Inc.

King Of Prussia, PA · Durable Medical Equipment & Medical Supplies

$452K
201023438538$441K

Showing top 20 of 133 providers billing this code