#1549 of 11K

A4414

HCPCS Procedure Code

HCPCS code A4414 is the #1,549 most-billed Medicaid procedure code, with $19.6M in payments across 413K claims from 2018–2024. The national median cost per claim is $48.85.

Total Paid

$19.6M

0.00% of all spending

Total Claims

413K

Providers

196

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for A4414? Based on 192 providers billing this code nationally.

Median

$48.85

Average

$52.11

Std Dev

$35.89

Max

$255.37

Percentile Distribution (Cost per Claim)

p10

$10.27

p25

$33.47

Median

$48.85

p75

$63.00

p90

$84.81

p95

$103.44

p99

$208.68

50% of providers bill between $33.47 and $63.00 per claim for this code.

90% bill between $10.27 and $84.81.

Top 1% bill above $208.68.

About This Procedure

HCPCS code A4414 was billed by 196 providers across 413K claims, totaling $19.6M in Medicaid payments from 2018–2024. This code was used for 359K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.85

Providers Billing

192

National Spending

$19.6M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4414

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$2.5M	$49.49	1.0× median	Above Median
2	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$1.6M	$133.41	2.7× median	Top 10%
3	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$1.3M	$54.52	1.1× median	Above Median
4	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$1.0M	$44.25	0.9× median	Below Median
5	1649244138	$661K	$31.04	0.6× median	Below Median
6	1881698439	$649K	$36.42	0.7× median	Below Median
7	1710932173	$627K	$64.76	1.3× median	Above 75th
8	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$610K	$85.89	1.8× median	Top 10%
9	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$568K	$42.60	0.9× median	Below Median
10	1962440891	$451K	$67.07	1.4× median	Above 75th
11	1275851800	$404K	$55.85	1.1× median	Above Median
12	1801899414	$379K	$125.66	2.6× median	Top 10%
13	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$378K	$42.93	0.9× median	Below Median
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$374K	$32.59	0.7× median	Below Median
15	1609024397	$372K	$68.69	1.4× median	Above 75th
16	1992891238	$328K	$33.75	0.7× median	Below Median
17	1346295953	$316K	$49.38	1.0× median	Above Median
18	1164403903	$282K	$75.16	1.5× median	Above 75th
19	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$264K	$61.72	1.3× median	Above Median
20	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$253K	$48.65	1.0× median	Below Median

Showing top 20 of 196 providers billing this code

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A4409$46.2M A4407$30.9M A4419$6.5M A4406$6.5M A4424$5.8M

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