#1520 of 11K

A4322

HCPCS Procedure Code

HCPCS code A4322 is the #1,520 most-billed Medicaid procedure code, with $20.3M in payments across 980K claims from 2018–2024. The national median cost per claim is $14.10. Costs vary widely — the 90th percentile is $50.65 per claim, 3.6× the median.

Total Paid

$20.3M

0.00% of all spending

Total Claims

980K

Providers

286

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for A4322? Based on 276 providers billing this code nationally.

Median

$14.10

Average

$22.34

Std Dev

$23.99

Max

$200.69

Percentile Distribution (Cost per Claim)

p10

$5.53

p25

$7.85

Median

$14.10

p75

$27.53

p90

$50.65

p95

$71.69

p99

$102.60

50% of providers bill between $7.85 and $27.53 per claim for this code.

90% bill between $5.53 and $50.65.

Top 1% bill above $102.60.

About This Procedure

HCPCS code A4322 was billed by 286 providers across 980K claims, totaling $20.3M in Medicaid payments from 2018–2024. This code was used for 871K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.10

Providers Billing

276

National Spending

$20.3M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4322

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$3.6M	$22.56	1.6× median	Above Median
2	1770583387	$1.5M	$82.58	5.9× median	Top 10%
3	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$1.5M	$38.42	2.7× median	Above 75th
4	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$966K	$43.20	3.1× median	Above 75th
5	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$695K	$63.76	4.5× median	Top 10%
6	1407159817	$691K	$22.92	1.6× median	Above Median
7	1790036671	$644K	$75.61	5.4× median	Top 10%
8	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$439K	$31.69	2.2× median	Above 75th
9	1275637324	$399K	$14.46	1.0× median	Above Median
10	1699853713	$352K	$12.04	0.9× median	Below Median
11	1477748119	$339K	$15.76	1.1× median	Above Median
12	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$338K	$34.41	2.4× median	Above 75th
13	1194807297	$317K	$13.51	1.0× median	Below Median
14	1801866173	$264K	$17.25	1.2× median	Above Median
15	1649228909	$259K	$13.69	1.0× median	Below Median
16	1922103142	$251K	$31.56	2.2× median	Above 75th
17	1134120462	$229K	$35.19	2.5× median	Above 75th
18	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$219K	$12.12	0.9× median	Below Median
19	1487665998	$205K	$70.39	5.0× median	Top 10%
20	1275612673	$199K	$6.92	0.5× median	Below Median

Showing top 20 of 286 providers billing this code

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