#4656 of 11K

A4455

HCPCS Procedure Code

HCPCS code A4455 is the #4,656 most-billed Medicaid procedure code, with $465K in payments across 119K claims from 2018–2024. The national median cost per claim is $3.36. Costs vary widely — the 90th percentile is $10.93 per claim, 3.3× the median.

Total Paid

$465K

0.00% of all spending

Total Claims

119K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for A4455? Based on 72 providers billing this code nationally.

Median

$3.36

Average

$5.69

Std Dev

$8.59

Max

$51.60

Percentile Distribution (Cost per Claim)

p10

$1.47

p25

$2.10

Median

$3.36

p75

$5.33

p90

$10.93

p95

$17.84

p99

$49.16

50% of providers bill between $2.10 and $5.33 per claim for this code.

90% bill between $1.47 and $10.93.

Top 1% bill above $49.16.

About This Procedure

HCPCS code A4455 was billed by 73 providers across 119K claims, totaling $465K in Medicaid payments from 2018–2024. This code was used for 107K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.36

Providers Billing

National Spending

$465K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4455

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$87K	$2.80	0.8× median	Below Median
2	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$60K	$8.14	2.4× median	Above 75th
3	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$45K	$13.06	3.9× median	Top 10%
4	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$37K	$3.79	1.1× median	Above Median
5	1710932173	$20K	$4.72	1.4× median	Above Median
6	1275647299	$17K	$19.29	5.7× median	Top 10%
7	1649244138	$16K	$3.51	1.0× median	Above Median
8	1427139641	$14K	$7.40	2.2× median	Above 75th
9	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$13K	$3.67	1.1× median	Above Median
10	180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment	$13K	$1.47	0.4× median	Below Median
11	1992891238	$13K	$2.11	0.6× median	Below Median
12	J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies	$13K	$6.98	2.1× median	Above 75th
13	1902055445	$10K	$11.19	3.3× median	Top 10%
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$9K	$2.32	0.7× median	Below Median
15	Integra Partners Llc Troy, MI · Orthotic Fitter	$8K	$6.52	1.9× median	Above 75th
16	1023438538	$7K	$3.28	1.0× median	Below Median
17	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$6K	$5.42	1.6× median	Above 75th
18	1609024397	$6K	$2.08	0.6× median	Below Median
19	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$6K	$2.83	0.8× median	Below Median
20	Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies	$5K	$5.85	1.7× median	Above 75th

Showing top 20 of 73 providers billing this code

Related Procedures

A4452$15.5M A4456$8.3M A4453$7.5M A4459Manual wheelchair accessory, not otherwise specified$5.8M A4450$4.1M

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