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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588860191 | $179K |
| 2 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $137K |
| 3 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $40K |
| 4 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $38K |
| 5 | 1427139641 | $37K |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $34K |
| 7 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $32K |
| 8 | 1801866173 | $32K |
| 9 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $27K |
| 10 | 1164959227 | $26K |
| 11 | 1710932173 | $22K |
| 12 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $22K |
| 13 | 1609024397 | $21K |
| 14 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $20K |
| 15 | 1730221599 | $17K |
| 16 | 1528037538 | $17K |
| 17 | 1992891238 | $15K |
| 18 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $14K |
| 19 | 1649244138 | $13K |
| 20 | 1346295953 | $12K |
Showing top 20 of 80 providers billing this code