A6247
HCPCS Procedure Code
HCPCS code A6247 is the #3,355 most-billed Medicaid procedure code, with $1.9M in payments across 6,822 claims from 2018–2024. The national median cost per claim is $204.66. Costs vary widely — the 90th percentile is $539.14 per claim, 2.6× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
6,822
Providers
6
Avg Cost/Claim
$273
National Cost Distribution
How much do providers bill per claim for A6247? Based on 6 providers billing this code nationally.
Median
$204.66
Average
$264.10
Std Dev
$238.82
Max
$552.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.81 and $478.02 per claim for this code.
90% bill between $48.51 and $539.14.
Top 1% bill above $550.89.
About This Procedure
HCPCS code A6247 was billed by 6 providers across 6,822 claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 6,256 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$204.66
Providers Billing
6
National Spending
$1.9M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6247
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $884K |
| 2 | 1780868877 | $534K |
| 3 | 1386672988 | $300K |
| 4 | 1215966205 | $121K |
| 5 | 1467726638 | $18K |
| 6 | 1801828389 | $6K |
Showing top 6 of 6 providers billing this code