A4338
HCPCS Procedure Code
HCPCS code A4338 is the #2,929 most-billed Medicaid procedure code, with $3.0M in payments across 249K claims from 2018–2024. The national median cost per claim is $7.20. Costs vary widely — the 90th percentile is $27.09 per claim, 3.8× the median.
Total Paid
$3.0M
0.00% of all spending
Total Claims
249K
Providers
176
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A4338? Based on 162 providers billing this code nationally.
Median
$7.20
Average
$12.05
Std Dev
$15.43
Max
$92.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.86 and $15.43 per claim for this code.
90% bill between $0.66 and $27.09.
Top 1% bill above $77.79.
About This Procedure
HCPCS code A4338 was billed by 176 providers across 249K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 213K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.20
Providers Billing
162
National Spending
$3.0M
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4338
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $541K |
| 2 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $212K |
| 3 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $176K |
| 4 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $146K |
| 5 | 1922006741 | $134K |
| 6 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $107K |
| 7 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $98K |
| 8 | 1275647299 | $89K |
| 9 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $83K |
| 10 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $75K |
| 11 | 1609024397 | $74K |
| 12 | 1427139641 | $61K |
| 13 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $58K |
| 14 | 1710932173 | $55K |
| 15 | 1881698439 | $54K |
| 16 | 1275851800 | $54K |
| 17 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $53K |
| 18 | 1386688414 | $43K |
| 19 | 1922046085 | $41K |
| 20 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $36K |
Showing top 20 of 176 providers billing this code