#5260 of 11K

A6447

HCPCS Procedure Code

HCPCS code A6447 is the #5,260 most-billed Medicaid procedure code, with $248K in payments across 12K claims from 2018–2024. The national median cost per claim is $28.02. Costs vary widely — the 90th percentile is $62.06 per claim, 2.2× the median.

Total Paid

$248K

0.00% of all spending

Total Claims

12K

Providers

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for A6447? Based on 18 providers billing this code nationally.

Median

$28.02

Average

$28.84

Std Dev

$29.39

Max

$96.58

Percentile Distribution (Cost per Claim)

p10

$0.18

p25

$2.70

Median

$28.02

p75

$41.12

p90

$62.06

p95

$90.39

p99

$95.34

50% of providers bill between $2.70 and $41.12 per claim for this code.

90% bill between $0.18 and $62.06.

Top 1% bill above $95.34.

About This Procedure

HCPCS code A6447 was billed by 20 providers across 12K claims, totaling $248K in Medicaid payments from 2018–2024. This code was used for 9,755 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.02

Providers Billing

National Spending

$248K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6447

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639231483	$119K	$89.30	3.2× median	Top 10%
2	1326274655	$31K	$96.58	3.4× median	Top 1%
3	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$23K	$48.83	1.7× median	Above 75th
4	1215966205	$21K	$3.34	0.1× median	Below Median
5	1649244138	$18K	$50.38	1.8× median	Above 75th
6	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$7K	$40.54	1.4× median	Above Median
7	1205834322	$6K	$29.04	1.0× median	Above Median
8	1467726638	$6K	$4.15	0.1× median	Below Median
9	1932105525	$5K	$34.03	1.2× median	Above Median
10	1710932173	$4K	$41.32	1.5× median	Above 75th
11	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$4K	$27.22	1.0× median	Below Median
12	1508398934	$3K	$21.72	0.8× median	Below Median
13	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$721	$28.83	1.0× median	Above Median
14	1831241033	$542	$2.49	0.1× median	Below Median
15	1164410635	$135	$0.99	0.0× median	Below Median
16	1407894348	$70	$0.22	0.0× median	Below Median
17	1508207804	$11	$0.02	0.0× median	Below Median
18	1700834173	$5	$0.07	0.0× median	Below Median
19	1326093782	$0	$0.00	0.0× median	Below Median
20	Integrated Home Care Services Inc. Miramar, FL · Case Management	$0	$0.00	0.0× median	Below Median

Showing top 20 of 20 providers billing this code

Related Procedures

A6446$18.9M A6449$6.3M A6454$2.8M A6452$2.2M A6457$1.8M

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