Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A6403

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing

Medicaid paid $1.24M on code A6403 from 2018 through 2024, to 73 providers — the #3,744 code in the file by dollars. 29% of it was billed in Maryland.

28Total paid$1.24M
24GClaims41,433
Paid per claim line$29.90
33Providers billing it73
Box 32 · Location

Where A6403 is billed

  1. MDMaryland
    $362K
  2. KYKentucky
    $320K
  3. CACalifornia
    $284K
  4. VAVirginia
    $62K
  5. PAPennsylvania
    $43K
  6. NYNew York
    $42K
  7. ILIllinois
    $32K
  8. TXTexas
    $22K
  9. FLFlorida
    $12K
  10. OHOhio
    $9.1K
  11. KSKansas
    $8.0K
  12. NCNorth Carolina
    $6.2K

The largest of 29 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 A6403

#ProviderLocationClaimsPaid on A6403
1 Blair Medical Supplies INC Salyersville, KY 3,078 $320K
2 Medi-Rents & Sales, INC. Baltimore, MD 3,762 $207K
3 Phast Pharmacy Bakersfield, CA 2,615 $161K
4 Able Medical INC Baltimore, MD 1,400 $148K
5 Home Care Delivered, INC. Richmond, VA 1,749 $62K
6 Lee, David Riverside, CA 1,094 $39K
7 Saint Paul Enterprises INC Glendora, CA 820 $33K
8 Adapthealth Patient Care Solutions LLC Beaver, PA 1,987 $30K
9 Byram Healthcare Centers, INC. White Plains, NY 991 $26K
10 Medline Industries, LP Grayslake, IL 928 $18K
11 South Texas Monitoring Systems LLC Mcallen, TX 454 $16K
12 Pih Health Whittier Hospital Whittier, CA 861 $15K
13 Byram Healthcare Centers, INC. Downers Grove, IL 811 $15K
14 SPRX, INC. Bakersfield, CA 258 $11K
15 Continuum, LLC Philadelphia, PA 920 $11K
16 1659353662 664 $9K
17 RGH Enterprises, LLC Twinsburg, OH 590 $9K
18 Shield California Health Care Center INC Valencia, CA 179 $8K
19 Med Star Surgical & Breathing Equipment INC. Bronx, NY 397 $8K
20 Clock Medical Supply INC Winfield, KS 801 $8K
21 Grandiff Medical Supplies INC Silver Spring, MD 49 $7K
22 Galaxy Medical INC Fort Lauderdale, FL 233 $6K
23 Mercy Home Care & Medical Supply Brooklyn, NY 376 $6K
24 Britkare Home Medical of Texas LTD Amarillo, TX 293 $6K
25 Prism Medical Products, L.L.C. Elkin, NC 523 $6K
26 Accurate Healthcare, INC. Nashville, TN 4,397 $6K
27 Hoffmann Homecare Bakersfield, CA 111 $5K
28 Byram Healthcare Centers, INC. Torrance, CA 255 $5K
29 Impact Medical Services LLC Blue Springs, MO 466 $5K
30 Finnegans INC. Conway, AR 82 $4K
31 Martin Memorial Medical Center INC Stuart, FL 1,962 $4K
32 Byram Healthcare Centers, INC Worcester, MA 109 $3K
33 1306961792 63 $2K
34 H & H Drug Stores, INC Glendale, CA 64 $2K
35 Integra Partners LLC Troy, MI 69 $2K
36 Freedom Medical and Mobility East Windsor, NJ 341 $2K
37 Byram Healthcare Centers, INC. Milford, CT 97 $1K
38 Healogics Wound Care Supply, LLC Jacksonville, FL 219 $1K
39 Burman's Medical Supplies, INC. Aston, PA 194 $1K
40 Riverside University Health Systems - Medical Center Moreno Valley, CA 1,701 $1K
41 Byram Healthcare Centers, INC. Kennesaw, GA 60 $923.13
42 Childrens Home Healthcare Omaha, NE 12 $725.00
43 Advanced Medical Solutions INC Howell, MI 12 $467.73
44 Staff Medical Supply INC Brooklyn, NY 13 $338.00
45 Champlain Valley Brace and Limb, L.L.C. Plattsburgh, NY 12 $264.60
46 Integrated Care Systems INC Visalia, CA 26 $241.39
47 Pain and Disability Institute, P.C. Jersey City, NJ 1,212 $178.19
48 Byram Healthcare Centers, INC. West Chester, OH 14 $154.82
49 Northbay Healthcare Group Fairfield, CA 113 $144.59
50 Conner & Mcconaghy INC Satsuma, AL 16 $133.96
51 White Aid Medical Supply INC Brooklyn, NY 15 $131.25
52 Advanced Tissue, LLC Little Rock, AR 12 $62.16
53 Prime Healthcare Services - Sherman Oaks, LLC Sherman Oaks, CA 30 $58.77
54 Park Nicollet Health Care Products St Louis Park, MN 16 $46.72
55 Montefiore Medical Center Bronx, NY 73 $4.84
56 Renown Regional Medical Center Reno, NV 56 $4.19
57 Hospital Service District No1 Parish of Avoyelles State of Louisiana Bunkie, LA 21 $4.13
58 ST. Barnabas Hospital Bronx, NY 12 $3.69
59 Smartclinic INC West Covina, CA 15 $1.36
60 Pali Momi Medical Center Aiea, HI 1,349 $0.44
61 West Allis Memorial Hospital, INC. West Allis, WI 419 $0.00
62 Aurora Health Care Metro, INC. Milwaukee, WI 1,023 $0.00
63 Southwest Mississippi Regional Medical Center Mccomb, MS 75 $0.00
64 Mountain Vista Medical Center LP Mesa, AZ 56 $0.00
65 Brannons Rentals and Sales, INC. San Jose, CA 282 $0.00
66 Riverside Hospital INC Newport News, VA 53 $0.00
67 Shore Health Services INC. Onancock, VA 38 $0.00
68 Ambulatory Pain and Disability Management Center LLC Jersey City, NJ 179 $0.00
69 Cambridge Public Health Commission Cambridge, MA 78 $0.00
70 Aurora Health Care Southern Lakes, INC. Kenosha, WI 83 $0.00
71 Kapiolani Medical Center for Women & Children Honolulu, HI 27 $0.00
72 H. Lee Moffitt Cancer Center and Research Institute Hospital, INC. Tampa, FL 16 $0.00
73 Palmetto Oxygen, LLC Cary, NC 52 $0.00