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A4390
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Medicaid paid $2.96M on code A4390 from 2018 through 2024, to 26 providers — the #2,949 code in the file by dollars. 29% of it was billed in California.
28Total paid$2.96M
24GClaims33,143
Paid per claim line$89.34
33Providers billing it26
Box 32 · Location
Where A4390 is billed
The largest of 18 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing A4390
| # | Provider | Location | Claims | Paid on A4390 |
|---|---|---|---|---|
| 1 | RGH Enterprises, LLC | Twinsburg, OH | 9,436 | $737K |
| 2 | Shield California Health Care Center INC | Valencia, CA | 2,245 | $453K |
| 3 | Byram Healthcare Centers, INC. | Torrance, CA | 2,553 | $418K |
| 4 | Byram Healthcare Centers, INC. | Downers Grove, IL | 4,201 | $297K |
| 5 | Byram Healthcare Centers, INC. | Bothell, WA | 1,822 | $139K |
| 6 | Adapthealth Patient Care Solutions LLC | Beaver, PA | 2,182 | $104K |
| 7 | Byram Healthcare Centers, INC. | White Plains, NY | 1,060 | $102K |
| 8 | Byram Healthcare Centers, INC | Worcester, MA | 996 | $98K |
| 9 | Liberator Medical Supply, INC. | Stuart, FL | 1,506 | $97K |
| 10 | Home Care Delivered, INC. | Richmond, VA | 1,106 | $90K |
| 11 | 180 Medical INC | Oklahoma City, OK | 1,242 | $71K |
| 12 | Medline Industries, LP | Grayslake, IL | 1,402 | $71K |
| 13 | Handi Medical Supply, INC. | Saint Paul, MN | 410 | $56K |
| 14 | Byram Healthcare Centers, INC. | Portland, OR | 547 | $56K |
| 15 | Byram Healthcare Centers, INC. | West Chester, OH | 614 | $40K |
| 16 | Prism Medical Products, L.L.C. | Elkin, NC | 466 | $36K |
| 17 | Binson's Hospital Supplies, INC. | Center Line, MI | 428 | $30K |
| 18 | Comfort Medical, LLC | Coral Springs, FL | 408 | $28K |
| 19 | Byram Healthcare Centers, INC. | Kennesaw, GA | 172 | $15K |
| 20 | J&B Medical Supply Co INC | Wixom, MI | 140 | $7K |
| 21 | Byram Healthcare Centers, INC. | Milford, CT | 44 | $6K |
| 22 | Degc Enterprises (U.S.), INC. | Clearwater, FL | 82 | $5K |
| 23 | Abc Home Medical Supply, INC. | Richardson, TX | 26 | $2K |
| 24 | Shield Denver Health Care Center INC | Elmhurst, IL | 26 | $2K |
| 25 | Airline Drug INC. | Springfield, MA | 14 | $857.48 |
| 26 | Accurate Healthcare, INC. | Nashville, TN | 15 | $95.57 |