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#778 of 11K

A4232

HCPCS Procedure Code

HCPCS code A4232 is the #778 most-billed Medicaid procedure code, with $83.2M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $34.49. Costs vary widely — the 90th percentile is $84.64 per claim, 2.5× the median.

Total Paid

$83.2M

0.01% of all spending

Total Claims

2.1M

Providers

111

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for A4232? Based on 109 providers billing this code nationally.

Median

$34.49

Average

$44.82

Std Dev

$40.23

Max

$350.27

Percentile Distribution (Cost per Claim)

p10
$18.40
p25
$27.62
Median
$34.49
p75
$48.18
p90
$84.64
p95
$109.73
p99
$154.04

50% of providers bill between $27.62 and $48.18 per claim for this code.

90% bill between $18.40 and $84.64.

Top 1% bill above $154.04.

About This Procedure

HCPCS code A4232 was billed by 111 providers across 2.1M claims, totaling $83.2M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.49

Providers Billing

109

National Spending

$83.2M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4232

#ProviderTotal Paid
1Minimed Distribution Corp.

Northridge, CA · Durable Medical Equipment & Medical Supplies

$16.3M
2Edwards Health Care Services, Inc.

Hudson, OH · Durable Medical Equipment & Medical Supplies

$8.1M
3Degc Enterprises (U.s.), Inc.

Clearwater, FL · Durable Medical Equipment & Medical Supplies

$6.8M
41619295516$6.6M
5Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$5.2M
61962731570$3.7M
71033142948$3.4M
81609024397$2.9M
9J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$2.2M
101174504765$2.1M
111184777286$1.9M
121114167111$1.6M
131295801421$1.5M
141366653545$1.5M
15Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$1.4M
16Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$1.3M
171730159617$1.3M
18Medical Express Depot Inc.

Pittsburgh, PA · Durable Medical Equipment & Medical Supplies

$1.3M
191932240702$1.1M
201346254620$716K

Showing top 20 of 111 providers billing this code