A5056
Ostomy skin barrier, without flange, each
Ostomy skin barrier, without flange, each is the #2,362 most-billed Medicaid procedure code, with $6.4M in payments across 99K claims from 2018–2024. The national median cost per claim is $54.88.
Total Paid
$6.4M
0.00% of all spending
Total Claims
99K
Providers
60
Avg Cost/Claim
$64
National Cost Distribution
How much do providers bill per claim for A5056? Based on 60 providers billing this code nationally.
Median
$54.88
Average
$61.04
Std Dev
$36.40
Max
$191.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.83 and $70.35 per claim for this code.
90% bill between $26.05 and $93.61.
Top 1% bill above $181.07.
About This Procedure
HCPCS code A5056 (Ostomy skin barrier, without flange, each) was billed by 60 providers across 99K claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.88
Providers Billing
60
National Spending
$6.4M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5056
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $1.1M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $842K |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $655K |
| 4 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $382K |
| 5 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $298K |
| 6 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $243K |
| 7 | 1992891238 | $233K |
| 8 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $222K |
| 9 | 1609024397 | $181K |
| 10 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $168K |
| 11 | 1710932173 | $166K |
| 12 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $150K |
| 13 | 1881698439 | $140K |
| 14 | 1346295953 | $122K |
| 15 | 1922006741 | $121K |
| 16 | 1427139641 | $110K |
| 17 | 1124132154 | $104K |
| 18 | 1649244138 | $101K |
| 19 | 1962440891 | $98K |
| 20 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $96K |
Showing top 20 of 60 providers billing this code