#2592 of 11K

E0156

HCPCS Procedure Code

HCPCS code E0156 is the #2,592 most-billed Medicaid procedure code, with $4.7M in payments across 595K claims from 2018–2024. The national median cost per claim is $7.15.

Total Paid

$4.7M

0.00% of all spending

Total Claims

595K

Providers

765

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for E0156? Based on 750 providers billing this code nationally.

Median

$7.15

Average

$7.59

Std Dev

$4.75

Max

$59.75

Percentile Distribution (Cost per Claim)

p10

$2.38

p25

$4.47

Median

$7.15

p75

$9.78

p90

$13.37

p95

$15.79

p99

$19.80

50% of providers bill between $4.47 and $9.78 per claim for this code.

90% bill between $2.38 and $13.37.

Top 1% bill above $19.80.

About This Procedure

HCPCS code E0156 was billed by 765 providers across 595K claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 553K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.15

Providers Billing

750

National Spending

$4.7M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0156

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$385K	$7.70	1.1× median	Above Median
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$315K	$13.24	1.9× median	Above 75th
3	Integra Partners Llc Troy, MI · Orthotic Fitter	$191K	$8.47	1.2× median	Above Median
4	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$142K	$5.99	0.8× median	Below Median
5	1922046085	$115K	$13.71	1.9× median	Top 10%
6	1184716672	$86K	$11.46	1.6× median	Above 75th
7	1093716334	$78K	$8.04	1.1× median	Above Median
8	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$77K	$8.45	1.2× median	Above Median
9	1386688414	$75K	$7.85	1.1× median	Above Median
10	1861576282	$66K	$14.32	2.0× median	Top 10%
11	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$56K	$8.75	1.2× median	Above Median
12	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$55K	$8.62	1.2× median	Above Median
13	1245387943	$53K	$9.82	1.4× median	Above 75th
14	1265526396	$52K	$8.97	1.3× median	Above Median
15	1447567334	$49K	$12.45	1.7× median	Above 75th
16	1629072665	$44K	$8.58	1.2× median	Above Median
17	1053314021	$43K	$8.10	1.1× median	Above Median
18	1730182023	$41K	$5.21	0.7× median	Below Median
19	1427153626	$41K	$6.42	0.9× median	Below Median
20	1346248341	$41K	$5.52	0.8× median	Below Median

Showing top 20 of 765 providers billing this code

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E0163$15.8M E0149$4.0M E0165$1.7M E0147$1.6M E0159$140K

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