A4358
HCPCS Procedure Code
HCPCS code A4358 is the #2,500 most-billed Medicaid procedure code, with $5.3M in payments across 669K claims from 2018–2024. The national median cost per claim is $6.27. Costs vary widely — the 90th percentile is $16.52 per claim, 2.6× the median.
Total Paid
$5.3M
0.00% of all spending
Total Claims
669K
Providers
306
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for A4358? Based on 299 providers billing this code nationally.
Median
$6.27
Average
$8.29
Std Dev
$8.30
Max
$51.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.81 and $9.02 per claim for this code.
90% bill between $1.72 and $16.52.
Top 1% bill above $45.31.
About This Procedure
HCPCS code A4358 was billed by 306 providers across 669K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 572K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.27
Providers Billing
299
National Spending
$5.3M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4358
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $446K |
| 2 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $409K |
| 3 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $281K |
| 4 | 1710932173 | $234K |
| 5 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $207K |
| 6 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $173K |
| 7 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $172K |
| 8 | 1922006741 | $165K |
| 9 | 1801899414 | $111K |
| 10 | 1881698439 | $106K |
| 11 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $99K |
| 12 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $94K |
| 13 | 1275647299 | $94K |
| 14 | 1649244138 | $92K |
| 15 | 1114978731 | $84K |
| 16 | 1396901047 | $80K |
| 17 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $78K |
| 18 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $74K |
| 19 | 1427139641 | $65K |
| 20 | Integra Partners Llc Troy, MI · Orthotic Fitter | $62K |
Showing top 20 of 306 providers billing this code