A4367
HCPCS Procedure Code
HCPCS code A4367 is the #3,675 most-billed Medicaid procedure code, with $1.3M in payments across 268K claims from 2018–2024. The national median cost per claim is $4.13.
Total Paid
$1.3M
0.00% of all spending
Total Claims
268K
Providers
111
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for A4367? Based on 108 providers billing this code nationally.
Median
$4.13
Average
$4.74
Std Dev
$2.65
Max
$18.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.34 and $5.45 per claim for this code.
90% bill between $2.41 and $7.42.
Top 1% bill above $15.07.
About This Procedure
HCPCS code A4367 was billed by 111 providers across 268K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 242K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.13
Providers Billing
108
National Spending
$1.3M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4367
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $262K |
| 2 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $97K |
| 3 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $93K |
| 4 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $90K |
| 5 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $60K |
| 6 | 1649244138 | $46K |
| 7 | 1609024397 | $43K |
| 8 | 1710932173 | $40K |
| 9 | 1881698439 | $36K |
| 10 | 1427139641 | $36K |
| 11 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $32K |
| 12 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $31K |
| 13 | 1992891238 | $31K |
| 14 | 1922046085 | $24K |
| 15 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $23K |
| 16 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $23K |
| 17 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $21K |
| 18 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $18K |
| 19 | 1346295953 | $17K |
| 20 | 1023063641 | $15K |
Showing top 20 of 111 providers billing this code