A4425
HCPCS Procedure Code
HCPCS code A4425 is the #1,350 most-billed Medicaid procedure code, with $26.1M in payments across 642K claims from 2018–2024. The national median cost per claim is $38.79.
Total Paid
$26.1M
0.00% of all spending
Total Claims
642K
Providers
217
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for A4425? Based on 213 providers billing this code nationally.
Median
$38.79
Average
$40.74
Std Dev
$24.66
Max
$148.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.85 and $52.25 per claim for this code.
90% bill between $9.22 and $65.53.
Top 1% bill above $118.32.
About This Procedure
HCPCS code A4425 was billed by 217 providers across 642K claims, totaling $26.1M in Medicaid payments from 2018–2024. This code was used for 565K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.79
Providers Billing
213
National Spending
$26.1M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4425
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $3.7M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $2.4M |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $1.6M |
| 4 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $1.2M |
| 5 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $876K |
| 6 | 1710932173 | $797K |
| 7 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $786K |
| 8 | 1649244138 | $739K |
| 9 | 1609024397 | $641K |
| 10 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $611K |
| 11 | 1992891238 | $521K |
| 12 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $486K |
| 13 | 1881698439 | $480K |
| 14 | 1386688414 | $461K |
| 15 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $457K |
| 16 | 1275647299 | $451K |
| 17 | 1902055445 | $422K |
| 18 | 1427139641 | $380K |
| 19 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $369K |
| 20 | 1801899414 | $343K |
Showing top 20 of 217 providers billing this code