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#2628 of 11K

A4402

HCPCS Procedure Code

HCPCS code A4402 is the #2,628 most-billed Medicaid procedure code, with $4.5M in payments across 956K claims from 2018–2024. The national median cost per claim is $4.15. Costs vary widely — the 90th percentile is $8.53 per claim, 2.1× the median.

Total Paid

$4.5M

0.00% of all spending

Total Claims

956K

Providers

348

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for A4402? Based on 344 providers billing this code nationally.

Median

$4.15

Average

$5.66

Std Dev

$11.28

Max

$190.35

Percentile Distribution (Cost per Claim)

p10
$1.53
p25
$2.86
Median
$4.15
p75
$5.81
p90
$8.53
p95
$12.39
p99
$26.17

50% of providers bill between $2.86 and $5.81 per claim for this code.

90% bill between $1.53 and $8.53.

Top 1% bill above $26.17.

About This Procedure

HCPCS code A4402 was billed by 348 providers across 956K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 881K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.15

Providers Billing

344

National Spending

$4.5M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4402

#ProviderTotal Paid
1Integra Partners Llc

Troy, MI · Orthotic Fitter

$272K
2J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$193K
31801899414$192K
4180 Medical Inc

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

$177K
5Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$174K
61699795054$158K
7Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$147K
8Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$119K
9Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$115K
10Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$101K
111750316055$100K
12Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$80K
13Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$64K
141134137730$60K
151639243611$56K
161861480048$50K
171922006741$50K
181881698439$49K
19Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$48K
201114923075$44K

Showing top 20 of 348 providers billing this code