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#2354 of 11K

A4406

HCPCS Procedure Code

HCPCS code A4406 is the #2,354 most-billed Medicaid procedure code, with $6.5M in payments across 567K claims from 2018–2024. The national median cost per claim is $10.23. Costs vary widely — the 90th percentile is $21.18 per claim, 2.1× the median.

Total Paid

$6.5M

0.00% of all spending

Total Claims

567K

Providers

221

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for A4406? Based on 218 providers billing this code nationally.

Median

$10.23

Average

$11.69

Std Dev

$8.63

Max

$67.43

Percentile Distribution (Cost per Claim)

p10
$2.69
p25
$6.27
Median
$10.23
p75
$14.50
p90
$21.18
p95
$24.67
p99
$34.41

50% of providers bill between $6.27 and $14.50 per claim for this code.

90% bill between $2.69 and $21.18.

Top 1% bill above $34.41.

About This Procedure

HCPCS code A4406 was billed by 221 providers across 567K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 498K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.23

Providers Billing

218

National Spending

$6.5M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4406

#ProviderTotal Paid
1Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$929K
2Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$558K
3Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$391K
4Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$293K
51649244138$221K
6Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$221K
7180 Medical Inc

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

$166K
81881698439$161K
91609024397$157K
101710932173$151K
111992891238$129K
12Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$112K
13H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$109K
14Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$105K
151427139641$100K
161386699221$99K
171275647299$94K
181346295953$84K
19Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$81K
201023438538$75K

Showing top 20 of 221 providers billing this code