#4920 of 11K

A6445

HCPCS Procedure Code

HCPCS code A6445 is the #4,920 most-billed Medicaid procedure code, with $353K in payments across 22K claims from 2018–2024. The national median cost per claim is $13.82.

Total Paid

$353K

0.00% of all spending

Total Claims

22K

Providers

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for A6445? Based on 35 providers billing this code nationally.

Median

$13.82

Average

$13.39

Std Dev

$9.67

Max

$38.72

Percentile Distribution (Cost per Claim)

p10

$0.47

p25

$4.52

Median

$13.82

p75

$19.16

p90

$24.54

p95

$27.84

p99

$35.86

50% of providers bill between $4.52 and $19.16 per claim for this code.

90% bill between $0.47 and $24.54.

Top 1% bill above $35.86.

About This Procedure

HCPCS code A6445 was billed by 36 providers across 22K claims, totaling $353K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.82

Providers Billing

National Spending

$353K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6445

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1649244138	$120K	$30.29	2.2× median	Top 10%
2	1548367063	$34K	$10.68	0.8× median	Below Median
3	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$33K	$16.91	1.2× median	Above Median
4	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$32K	$16.73	1.2× median	Above Median
5	1932105525	$26K	$17.15	1.2× median	Above Median
6	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$25K	$10.63	0.8× median	Below Median
7	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$23K	$16.52	1.2× median	Above Median
8	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$20K	$13.82	1.0× median	Above Median
9	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$13K	$19.40	1.4× median	Above 75th
10	1730174764	$7K	$12.22	0.9× median	Below Median
11	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$5K	$19.84	1.4× median	Above 75th
12	1679653356	$3K	$24.52	1.8× median	Above 75th
13	1710057500	$3K	$38.72	2.8× median	Top 1%
14	1073849667	$2K	$10.76	0.8× median	Below Median
15	1710932173	$2K	$11.17	0.8× median	Below Median
16	1922006741	$2K	$23.23	1.7× median	Above 75th
17	1154479913	$614	$24.56	1.8× median	Top 10%
18	1275703084	$492	$18.92	1.4× median	Above Median
19	1427139641	$326	$23.32	1.7× median	Above 75th
20	1164530630	$322	$26.79	1.9× median	Top 10%

Showing top 20 of 36 providers billing this code

Related Procedures

A6446$18.9M A6449$6.3M A6454$2.8M A6452$2.2M A6443$1.1M

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