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#3299 of 11K

A6248

HCPCS Procedure Code

HCPCS code A6248 is the #3,299 most-billed Medicaid procedure code, with $2.0M in payments across 101K claims from 2018–2024. The national median cost per claim is $23.50. Costs vary widely — the 90th percentile is $69.07 per claim, 2.9× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

101K

Providers

86

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for A6248? Based on 80 providers billing this code nationally.

Median

$23.50

Average

$36.28

Std Dev

$56.22

Max

$411.23

Percentile Distribution (Cost per Claim)

p10
$0.66
p25
$4.97
Median
$23.50
p75
$44.53
p90
$69.07
p95
$124.99
p99
$256.99

50% of providers bill between $4.97 and $44.53 per claim for this code.

90% bill between $0.66 and $69.07.

Top 1% bill above $256.99.

About This Procedure

HCPCS code A6248 was billed by 86 providers across 101K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 89K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.50

Providers Billing

80

National Spending

$2.0M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A6248

#ProviderTotal Paid
11013124213$290K
2Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$237K
31043390370$195K
4Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$120K
5Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$104K
6Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$104K
71548367063$97K
8Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$76K
91710932173$72K
101639231483$72K
111649244138$66K
12Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$65K
131427139641$42K
14Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$34K
151255761318$32K
161346295953$29K
17H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$28K
181023054871$22K
191710452701$21K
201962515783$20K

Showing top 20 of 86 providers billing this code