A4556
HCPCS Procedure Code
HCPCS code A4556 is the #1,363 most-billed Medicaid procedure code, with $25.6M in payments across 521K claims from 2018–2024. The national median cost per claim is $1.69. Costs vary widely — the 90th percentile is $29.89 per claim, 17.7× the median.
Total Paid
$25.6M
0.00% of all spending
Total Claims
521K
Providers
282
Avg Cost/Claim
$49
National Cost Distribution
How much do providers bill per claim for A4556? Based on 203 providers billing this code nationally.
Median
$1.69
Average
$18.00
Std Dev
$96.06
Max
$1,329.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.19 and $9.85 per claim for this code.
90% bill between $0.08 and $29.89.
Top 1% bill above $150.66.
About This Procedure
HCPCS code A4556 was billed by 282 providers across 521K claims, totaling $25.6M in Medicaid payments from 2018–2024. This code was used for 411K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.69
Providers Billing
203
National Spending
$25.6M
Avg/Median Ratio
10.65×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4556
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770511552 | $22.2M |
| 2 | 1932537941 | $1.2M |
| 3 | 1336128149 | $316K |
| 4 | 1205976073 | $260K |
| 5 | 1538668843 | $248K |
| 6 | 1841376076 | $180K |
| 7 | 1629167028 | $172K |
| 8 | 1811990302 | $82K |
| 9 | 1780667824 | $81K |
| 10 | 1972553162 | $70K |
| 11 | 1962431049 | $65K |
| 12 | 1760513923 | $55K |
| 13 | Integra Partners Llc Troy, MI · Orthotic Fitter | $52K |
| 14 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $46K |
| 15 | 1194093229 | $32K |
| 16 | 1588028005 | $31K |
| 17 | 1164923298 | $27K |
| 18 | 1285025973 | $26K |
| 19 | 1043240682 | $25K |
| 20 | 1659765204 | $24K |
Showing top 20 of 282 providers billing this code