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#3528 of 11K

A4284

HCPCS Procedure Code

HCPCS code A4284 is the #3,528 most-billed Medicaid procedure code, with $1.6M in payments across 120K claims from 2018–2024. The national median cost per claim is $9.85.

Total Paid

$1.6M

0.00% of all spending

Total Claims

120K

Providers

27

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for A4284? Based on 23 providers billing this code nationally.

Median

$9.85

Average

$11.72

Std Dev

$11.38

Max

$45.47

Percentile Distribution (Cost per Claim)

p10
$1.44
p25
$4.47
Median
$9.85
p75
$14.33
p90
$18.73
p95
$38.31
p99
$44.37

50% of providers bill between $4.47 and $14.33 per claim for this code.

90% bill between $1.44 and $18.73.

Top 1% bill above $44.37.

About This Procedure

HCPCS code A4284 was billed by 27 providers across 120K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 107K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.85

Providers Billing

23

National Spending

$1.6M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4284

#ProviderTotal Paid
11902140734$756K
21033221841$420K
3Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$162K
41801965231$44K
51306961511$37K
61699021642$35K
71053364695$33K
81689665911$17K
91184960874$16K
101497707426$14K
111215997853$10K
121457772535$6K
131639375835$2K
141093720633$2K
151568702744$1K
161245773043$787
171962645374$643
18Preferred Home Health Care & Nursing Services Inc.

Mount Laurel, NJ · Home Health

$555
191043249196$287
201003462581$115

Showing top 20 of 27 providers billing this code