#1494 of 11K

A6402

HCPCS Procedure Code

HCPCS code A6402 is the #1,494 most-billed Medicaid procedure code, with $21.2M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $7.69. Costs vary widely — the 90th percentile is $18.35 per claim, 2.4× the median.

Total Paid

$21.2M

0.00% of all spending

Total Claims

2.3M

Providers

878

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for A6402? Based on 830 providers billing this code nationally.

Median

$7.69

Average

$9.68

Std Dev

$10.08

Max

$97.72

Percentile Distribution (Cost per Claim)

p10

$0.84

p25

$4.37

Median

$7.69

p75

$12.16

p90

$18.35

p95

$23.42

p99

$51.30

50% of providers bill between $4.37 and $12.16 per claim for this code.

90% bill between $0.84 and $18.35.

Top 1% bill above $51.30.

About This Procedure

HCPCS code A6402 was billed by 878 providers across 2.3M claims, totaling $21.2M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.69

Providers Billing

830

National Spending

$21.2M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6402

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$809K	$8.93	1.2× median	Above Median
2	1548367063	$795K	$5.50	0.7× median	Below Median
3	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$601K	$8.26	1.1× median	Above Median
4	1649244138	$569K	$7.56	1.0× median	Below Median
5	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$533K	$12.30	1.6× median	Above 75th
6	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$497K	$9.55	1.2× median	Above Median
7	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$461K	$7.86	1.0× median	Above Median
8	1902137409	$458K	$14.86	1.9× median	Above 75th
9	1023054871	$381K	$16.91	2.2× median	Above 75th
10	1861480048	$365K	$14.83	1.9× median	Above 75th
11	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$355K	$7.26	0.9× median	Below Median
12	1710932173	$345K	$10.87	1.4× median	Above Median
13	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$341K	$10.11	1.3× median	Above Median
14	1770583387	$312K	$16.54	2.2× median	Above 75th
15	1538128293	$300K	$13.52	1.8× median	Above 75th
16	1407159817	$257K	$11.75	1.5× median	Above Median
17	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$246K	$6.98	0.9× median	Below Median
18	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$223K	$6.51	0.8× median	Below Median
19	1477748119	$218K	$9.64	1.3× median	Above Median
20	1093229320	$212K	$30.01	3.9× median	Top 10%

Showing top 20 of 878 providers billing this code

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