A6237
HCPCS Procedure Code
HCPCS code A6237 is the #4,939 most-billed Medicaid procedure code, with $346K in payments across 19K claims from 2018–2024. The national median cost per claim is $14.88. Costs vary widely — the 90th percentile is $69.80 per claim, 4.7× the median.
Total Paid
$346K
0.00% of all spending
Total Claims
19K
Providers
19
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for A6237? Based on 15 providers billing this code nationally.
Median
$14.88
Average
$28.57
Std Dev
$25.32
Max
$76.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.78 and $41.44 per claim for this code.
90% bill between $7.72 and $69.80.
Top 1% bill above $76.05.
About This Procedure
HCPCS code A6237 was billed by 19 providers across 19K claims, totaling $346K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.88
Providers Billing
15
National Spending
$346K
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6237
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013124213 | $107K |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $95K |
| 3 | 1750608147 | $88K |
| 4 | 1710452701 | $34K |
| 5 | 1922660851 | $6K |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $4K |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $4K |
| 8 | Nationwide Children's Hospital Columbus, OH · Durable Medical Equipment & Medical Supplies | $3K |
| 9 | 1730397175 | $2K |
| 10 | 1417955170 | $763 |
| 11 | 1063771798 | $750 |
| 12 | 1649244138 | $714 |
| 13 | 1710969563 | $684 |
| 14 | 1225413743 | $301 |
| 15 | 1437194164 | $220 |
| 16 | 1053347344 | $0 |
| 17 | 1669455135 | $0 |
| 18 | 1407523400 | $0 |
| 19 | 1598228975 | $0 |
Showing top 19 of 19 providers billing this code