A4550
HCPCS Procedure Code
HCPCS code A4550 is the #2,973 most-billed Medicaid procedure code, with $2.9M in payments across 232K claims from 2018–2024. The national median cost per claim is $4.85. Costs vary widely — the 90th percentile is $49.25 per claim, 10.2× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
232K
Providers
508
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A4550? Based on 272 providers billing this code nationally.
Median
$4.85
Average
$32.34
Std Dev
$89.29
Max
$700.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.67 and $15.30 per claim for this code.
90% bill between $0.07 and $49.25.
Top 1% bill above $450.00.
About This Procedure
HCPCS code A4550 was billed by 508 providers across 232K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 194K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.85
Providers Billing
272
National Spending
$2.9M
Avg/Median Ratio
6.67×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4550
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982643003 | $464K |
| 2 | 1285873166 | $343K |
| 3 | 1083896062 | $227K |
| 4 | 1598969008 | $210K |
| 5 | 1508285776 | $190K |
| 6 | 1255437166 | $137K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $98K |
| 8 | 1902855828 | $84K |
| 9 | 1265593594 | $84K |
| 10 | 1063488179 | $64K |
| 11 | 1881743631 | $63K |
| 12 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $61K |
| 13 | 1497792816 | $55K |
| 14 | 1679663447 | $52K |
| 15 | 1508802315 | $48K |
| 16 | 1952376410 | $43K |
| 17 | 1699703959 | $36K |
| 18 | 1891793022 | $35K |
| 19 | 1144745951 | $31K |
| 20 | 1023398906 | $25K |
Showing top 20 of 508 providers billing this code