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#4865 of 11K

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)

p10
$7.53
p25
$29.70
Median
$101.54
p75
$173.59
p90
$285.21
p95
$362.71
p99
$423.99

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

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$123K
21013124213$54K
31275647299$51K
41386672988$45K
5Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$29K
6Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$29K
7Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$24K
8Integra Partners Llc

Troy, MI · Orthotic Fitter

$6K
91710932173$4K
101649244138$4K
111962515783$1K
121710452701$243
13H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$168
141982805271$1

Showing top 14 of 14 providers billing this code