#3439 of 11K

E0165

HCPCS Procedure Code

HCPCS code E0165 is the #3,439 most-billed Medicaid procedure code, with $1.7M in payments across 107K claims from 2018–2024. The national median cost per claim is $12.56. Costs vary widely — the 90th percentile is $41.38 per claim, 3.3× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

107K

Providers

179

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for E0165? Based on 178 providers billing this code nationally.

Median

$12.56

Average

$20.05

Std Dev

$26.42

Max

$171.76

Percentile Distribution (Cost per Claim)

p10

$3.10

p25

$6.00

Median

$12.56

p75

$20.84

p90

$41.38

p95

$69.57

p99

$145.89

50% of providers bill between $6.00 and $20.84 per claim for this code.

90% bill between $3.10 and $41.38.

Top 1% bill above $145.89.

About This Procedure

HCPCS code E0165 was billed by 179 providers across 107K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.56

Providers Billing

178

National Spending

$1.7M

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0165

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$359K	$153.33	12.2× median	Top 1%
2	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$110K	$13.72	1.1× median	Above Median
3	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$87K	$71.56	5.7× median	Top 10%
4	1053314021	$60K	$33.97	2.7× median	Above 75th
5	1669417531	$55K	$15.49	1.2× median	Above Median
6	1730182023	$55K	$12.22	1.0× median	Below Median
7	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$38K	$10.37	0.8× median	Below Median
8	1811060544	$35K	$17.14	1.4× median	Above Median
9	1174505549	$32K	$10.58	0.8× median	Below Median
10	1609874072	$30K	$29.83	2.4× median	Above 75th
11	1265526396	$29K	$22.08	1.8× median	Above 75th
12	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$29K	$12.64	1.0× median	Above Median
13	1255632394	$28K	$30.52	2.4× median	Above 75th
14	1912995473	$26K	$18.24	1.5× median	Above Median
15	1447355300	$26K	$13.55	1.1× median	Above Median
16	1275523581	$26K	$11.37	0.9× median	Below Median
17	1497703516	$24K	$38.48	3.1× median	Above 75th
18	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$24K	$17.56	1.4× median	Above Median
19	1457314130	$23K	$22.73	1.8× median	Above 75th
20	1821418187	$23K	$14.39	1.1× median	Above Median

Showing top 20 of 179 providers billing this code

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