A4239
Supply allowance for non-insulin pump CGM, per month
Supply allowance for non-insulin pump CGM, per month is the #381 most-billed Medicaid procedure code, with $290.9M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $73.75. Costs vary widely — the 90th percentile is $217.63 per claim, 3.0× the median.
Total Paid
$290.9M
0.03% of all spending
Total Claims
2.4M
Providers
465
Avg Cost/Claim
$121
National Cost Distribution
How much do providers bill per claim for A4239? Based on 457 providers billing this code nationally.
Median
$73.75
Average
$106.41
Std Dev
$97.00
Max
$895.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.62 and $160.35 per claim for this code.
90% bill between $22.33 and $217.63.
Top 1% bill above $427.04.
About This Procedure
HCPCS code A4239 (Supply allowance for non-insulin pump CGM, per month) was billed by 465 providers across 2.4M claims, totaling $290.9M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.75
Providers Billing
457
National Spending
$290.9M
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4239
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $36.0M |
| 2 | 1245259282 | $24.9M |
| 3 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $17.4M |
| 4 | 1033142948 | $12.6M |
| 5 | Benzer Co 1 Llc Byers, CO · Pharmacy Community/Retail Pharmacy | $12.0M |
| 6 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $11.9M |
| 7 | 1447321674 | $10.9M |
| 8 | 1316903545 | $10.1M |
| 9 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $8.2M |
| 10 | 1700889227 | $7.9M |
| 11 | Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies | $7.6M |
| 12 | 1356716534 | $7.0M |
| 13 | 1093711996 | $6.5M |
| 14 | 1376797704 | $6.5M |
| 15 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $6.4M |
| 16 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $5.5M |
| 17 | 1346254620 | $5.1M |
| 18 | 1992736425 | $4.7M |
| 19 | 1649244138 | $4.4M |
| 20 | 1629013156 | $4.3M |
Showing top 20 of 465 providers billing this code