A9278
HCPCS Procedure Code
HCPCS code A9278 is the #993 most-billed Medicaid procedure code, with $49.8M in payments across 122K claims from 2018–2024. The national median cost per claim is $366.50.
Total Paid
$49.8M
0.00% of all spending
Total Claims
122K
Providers
84
Avg Cost/Claim
$409
National Cost Distribution
How much do providers bill per claim for A9278? Based on 84 providers billing this code nationally.
Median
$366.50
Average
$364.12
Std Dev
$155.16
Max
$1,101.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $275.28 and $464.95 per claim for this code.
90% bill between $189.62 and $507.38.
Top 1% bill above $703.97.
About This Procedure
HCPCS code A9278 was billed by 84 providers across 122K claims, totaling $49.8M in Medicaid payments from 2018–2024. This code was used for 106K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$366.50
Providers Billing
84
National Spending
$49.8M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A9278
| # | Provider | Total Paid |
|---|---|---|
| 1 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $5.1M |
| 2 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $4.2M |
| 3 | 1902842545 | $3.2M |
| 4 | 1164537452 | $2.2M |
| 5 | Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies | $2.1M |
| 6 | 1366653545 | $1.9M |
| 7 | 1003813064 | $1.7M |
| 8 | 1720468812 | $1.6M |
| 9 | 1770512501 | $1.6M |
| 10 | 1285018457 | $1.5M |
| 11 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $1.3M |
| 12 | 1093711996 | $1.2M |
| 13 | 1962731570 | $1.1M |
| 14 | 1902808108 | $1.0M |
| 15 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $1.0M |
| 16 | 1245259282 | $937K |
| 17 | 1457772535 | $933K |
| 18 | 1285821264 | $910K |
| 19 | 1023438538 | $893K |
| 20 | 1235312695 | $829K |
Showing top 20 of 84 providers billing this code