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#3425 of 11K

E0100

HCPCS Procedure Code

HCPCS code E0100 is the #3,425 most-billed Medicaid procedure code, with $1.7M in payments across 177K claims from 2018–2024. The national median cost per claim is $9.96.

Total Paid

$1.7M

0.00% of all spending

Total Claims

177K

Providers

240

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for E0100? Based on 235 providers billing this code nationally.

Median

$9.96

Average

$10.79

Std Dev

$5.11

Max

$50.00

Percentile Distribution (Cost per Claim)

p10
$6.06
p25
$7.47
Median
$9.96
p75
$13.03
p90
$16.25
p95
$18.63
p99
$25.19

50% of providers bill between $7.47 and $13.03 per claim for this code.

90% bill between $6.06 and $16.25.

Top 1% bill above $25.19.

About This Procedure

HCPCS code E0100 was billed by 240 providers across 177K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 171K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.96

Providers Billing

235

National Spending

$1.7M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0100

#ProviderTotal Paid
1Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$146K
2Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$130K
31043251341$85K
41659365849$65K
51326048893$56K
6H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$55K
7Integra Partners Llc

Troy, MI · Orthotic Fitter

$47K
81306836465$46K
91972500940$45K
10Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$42K
111861576282$39K
121922046085$36K
131629072665$31K
141265526396$29K
151689665911$27K
161891787594$26K
171619988284$23K
181184716672$23K
191851328157$23K
201093716334$22K

Showing top 20 of 240 providers billing this code

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