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#3001 of 11K

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)

p10
$3.66
p25
$11.55
Median
$23.86
p75
$39.41
p90
$126.53
p95
$189.05
p99
$360.04

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

#ProviderTotal Paid
11174745335$1.5M
21578521274$189K
31275733206$137K
41073776225$105K
51548367063$66K
61013124213$57K
71578630190$57K
81245383348$54K
91902137409$53K
101376916379$53K
11Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$45K
12The Promptcare Companies, Inc.

King Of Prussia, PA · Durable Medical Equipment & Medical Supplies

$42K
131285639914$31K
141962515783$30K
151326176165$30K
16Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$27K
171295800068$24K
181497730998$22K
191174632368$21K
201063974285$16K

Showing top 20 of 71 providers billing this code