#1312 of 11K

A6252

HCPCS Procedure Code

HCPCS code A6252 is the #1,312 most-billed Medicaid procedure code, with $27.8M in payments across 609K claims from 2018–2024. The national median cost per claim is $46.15. Costs vary widely — the 90th percentile is $92.63 per claim, 2.0× the median.

Total Paid

$27.8M

0.00% of all spending

Total Claims

609K

Providers

236

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for A6252? Based on 225 providers billing this code nationally.

Median

$46.15

Average

$58.21

Std Dev

$91.25

Max

$1,253.49

Percentile Distribution (Cost per Claim)

p10

$4.29

p25

$23.92

Median

$46.15

p75

$73.48

p90

$92.63

p95

$139.65

p99

$247.87

50% of providers bill between $23.92 and $73.48 per claim for this code.

90% bill between $4.29 and $92.63.

Top 1% bill above $247.87.

About This Procedure

HCPCS code A6252 was billed by 236 providers across 609K claims, totaling $27.8M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.15

Providers Billing

225

National Spending

$27.8M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6252

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$2.7M	$51.17	1.1× median	Above Median
2	1548367063	$2.5M	$36.83	0.8× median	Below Median
3	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$2.0M	$88.87	1.9× median	Above 75th
4	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$1.7M	$62.56	1.4× median	Above Median
5	1710932173	$1.0M	$57.67	1.2× median	Above Median
6	1649244138	$1.0M	$34.84	0.8× median	Below Median
7	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$983K	$62.78	1.4× median	Above Median
8	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$844K	$43.32	0.9× median	Below Median
9	1023054871	$788K	$76.13	1.6× median	Above 75th
10	1346295953	$724K	$76.27	1.7× median	Above 75th
11	1679653356	$666K	$93.20	2.0× median	Top 10%
12	1013124213	$645K	$10.15	0.2× median	Below Median
13	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$634K	$56.81	1.2× median	Above Median
14	1609024397	$521K	$96.12	2.1× median	Top 10%
15	1275703084	$512K	$68.28	1.5× median	Above Median
16	1427139641	$509K	$54.68	1.2× median	Above Median
17	1730174764	$459K	$47.33	1.0× median	Above Median
18	1093229320	$397K	$1,253.49	27.2× median	Top 1%
19	1295800068	$395K	$87.75	1.9× median	Above 75th
20	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$283K	$72.26	1.6× median	Above Median

Showing top 20 of 236 providers billing this code

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