#1502 of 11K

A4362

HCPCS Procedure Code

HCPCS code A4362 is the #1,502 most-billed Medicaid procedure code, with $21.0M in payments across 563K claims from 2018–2024. The national median cost per claim is $36.03.

Total Paid

$21.0M

0.00% of all spending

Total Claims

563K

Providers

187

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for A4362? Based on 183 providers billing this code nationally.

Median

$36.03

Average

$41.53

Std Dev

$36.15

Max

$350.27

Percentile Distribution (Cost per Claim)

p10

$11.86

p25

$23.12

Median

$36.03

p75

$49.35

p90

$70.83

p95

$89.89

p99

$145.85

50% of providers bill between $23.12 and $49.35 per claim for this code.

90% bill between $11.86 and $70.83.

Top 1% bill above $145.85.

About This Procedure

HCPCS code A4362 was billed by 187 providers across 563K claims, totaling $21.0M in Medicaid payments from 2018–2024. This code was used for 497K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.03

Providers Billing

183

National Spending

$21.0M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4362

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$2.8M	$35.04	1.0× median	Below Median
2	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$2.0M	$39.96	1.1× median	Above Median
3	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$1.8M	$75.75	2.1× median	Top 10%
4	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$1.3M	$65.37	1.8× median	Above 75th
5	1992891238	$814K	$24.60	0.7× median	Below Median
6	1881698439	$791K	$25.49	0.7× median	Below Median
7	1609024397	$738K	$43.27	1.2× median	Above Median
8	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$728K	$31.22	0.9× median	Below Median
9	1710932173	$694K	$47.87	1.3× median	Above Median
10	1649244138	$435K	$21.74	0.6× median	Below Median
11	1346295953	$420K	$35.28	1.0× median	Below Median
12	1427139641	$416K	$45.41	1.3× median	Above Median
13	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$374K	$37.37	1.0× median	Above Median
14	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$338K	$26.13	0.7× median	Below Median
15	1023063641	$317K	$41.30	1.1× median	Above Median
16	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$277K	$36.18	1.0× median	Above Median
17	1568083087	$272K	$38.05	1.1× median	Above Median
18	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$270K	$23.10	0.6× median	Below Median
19	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$270K	$30.44	0.8× median	Below Median
20	1023438538	$256K	$35.58	1.0× median	Below Median

Showing top 20 of 187 providers billing this code

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