A5114
HCPCS Procedure Code
HCPCS code A5114 is the #6,932 most-billed Medicaid procedure code, with $36K in payments across 4K claims from 2018–2024. The national median cost per claim is $5.05. Costs vary widely — the 90th percentile is $13.44 per claim, 2.7× the median.
Total Paid
$36K
0.00% of all spending
Total Claims
4K
Providers
8
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for A5114? Based on 8 providers billing this code nationally.
Median
$5.05
Average
$6.54
Std Dev
$5.88
Max
$15.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.30 and $12.06 per claim for this code.
90% bill between $0.76 and $13.44.
Top 1% bill above $14.84.
About This Procedure
HCPCS code A5114 was billed by 8 providers across 4K claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.05
Providers Billing
8
National Spending
$36K
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5114
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $16K |
| 2 | 1801899414 | $9K |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $6K |
| 4 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $3K |
| 5 | 1588704027 | $2K |
| 6 | 1649244138 | $287 |
| 7 | 1013124213 | $193 |
| 8 | 1356687404 | $18 |
Showing top 8 of 8 providers billing this code