A6235
HCPCS Procedure Code
HCPCS code A6235 is the #4,865 most-billed Medicaid procedure code, with $369K in payments across 4,640 claims from 2018–2024. The national median cost per claim is $101.54. Costs vary widely — the 90th percentile is $285.21 per claim, 2.8× the median.
Total Paid
$369K
0.00% of all spending
Total Claims
4,640
Providers
14
Avg Cost/Claim
$80
National Cost Distribution
How much do providers bill per claim for A6235? Based on 14 providers billing this code nationally.
Median
$101.54
Average
$128.27
Std Dev
$126.50
Max
$439.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.70 and $173.59 per claim for this code.
90% bill between $7.53 and $285.21.
Top 1% bill above $423.99.
About This Procedure
HCPCS code A6235 was billed by 14 providers across 4,640 claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 3,983 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.54
Providers Billing
14
National Spending
$369K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6235
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $123K |
| 2 | 1013124213 | $54K |
| 3 | 1275647299 | $51K |
| 4 | 1386672988 | $45K |
| 5 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $29K |
| 6 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $29K |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $24K |
| 8 | Integra Partners Llc Troy, MI · Orthotic Fitter | $6K |
| 9 | 1710932173 | $4K |
| 10 | 1649244138 | $4K |
| 11 | 1962515783 | $1K |
| 12 | 1710452701 | $243 |
| 13 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $168 |
| 14 | 1982805271 | $1 |
Showing top 14 of 14 providers billing this code