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#4052 of 11K

A4369

HCPCS Procedure Code

HCPCS code A4369 is the #4,052 most-billed Medicaid procedure code, with $892K in payments across 147K claims from 2018–2024. The national median cost per claim is $3.67. Costs vary widely — the 90th percentile is $17.92 per claim, 4.9× the median.

Total Paid

$892K

0.00% of all spending

Total Claims

147K

Providers

80

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for A4369? Based on 79 providers billing this code nationally.

Median

$3.67

Average

$6.93

Std Dev

$8.61

Max

$45.98

Percentile Distribution (Cost per Claim)

p10
$1.62
p25
$2.71
Median
$3.67
p75
$5.47
p90
$17.92
p95
$27.33
p99
$36.86

50% of providers bill between $2.71 and $5.47 per claim for this code.

90% bill between $1.62 and $17.92.

Top 1% bill above $36.86.

About This Procedure

HCPCS code A4369 was billed by 80 providers across 147K claims, totaling $892K in Medicaid payments from 2018–2024. This code was used for 132K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.67

Providers Billing

79

National Spending

$892K

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4369

#ProviderTotal Paid
11588860191$179K
2Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$137K
3Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$40K
4Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$38K
51427139641$37K
6Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$34K
7Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$32K
81801866173$32K
9Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$27K
101164959227$26K
111710932173$22K
12Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$22K
131609024397$21K
14180 Medical Inc

Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment

$20K
151730221599$17K
161528037538$17K
171992891238$15K
18Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$14K
191649244138$13K
201346295953$12K

Showing top 20 of 80 providers billing this code