A6251
HCPCS Procedure Code
HCPCS code A6251 is the #3,001 most-billed Medicaid procedure code, with $2.8M in payments across 61K claims from 2018–2024. The national median cost per claim is $23.86. Costs vary widely — the 90th percentile is $126.53 per claim, 5.3× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
61K
Providers
71
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for A6251? Based on 66 providers billing this code nationally.
Median
$23.86
Average
$47.61
Std Dev
$74.41
Max
$427.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.55 and $39.41 per claim for this code.
90% bill between $3.66 and $126.53.
Top 1% bill above $360.04.
About This Procedure
HCPCS code A6251 was billed by 71 providers across 61K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.86
Providers Billing
66
National Spending
$2.8M
Avg/Median Ratio
2.00×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6251
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1174745335 | $1.5M |
| 2 | 1578521274 | $189K |
| 3 | 1275733206 | $137K |
| 4 | 1073776225 | $105K |
| 5 | 1548367063 | $66K |
| 6 | 1013124213 | $57K |
| 7 | 1578630190 | $57K |
| 8 | 1245383348 | $54K |
| 9 | 1902137409 | $53K |
| 10 | 1376916379 | $53K |
| 11 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $45K |
| 12 | The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies | $42K |
| 13 | 1285639914 | $31K |
| 14 | 1962515783 | $30K |
| 15 | 1326176165 | $30K |
| 16 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $27K |
| 17 | 1295800068 | $24K |
| 18 | 1497730998 | $22K |
| 19 | 1174632368 | $21K |
| 20 | 1063974285 | $16K |
Showing top 20 of 71 providers billing this code