#4498 of 11K

E0168

HCPCS Procedure Code

HCPCS code E0168 is the #4,498 most-billed Medicaid procedure code, with $547K in payments across 15K claims from 2018–2024. The national median cost per claim is $45.30. Costs vary widely — the 90th percentile is $123.93 per claim, 2.7× the median.

Total Paid

$547K

0.00% of all spending

Total Claims

15K

Providers

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for E0168? Based on 37 providers billing this code nationally.

Median

$45.30

Average

$53.23

Std Dev

$39.55

Max

$143.02

Percentile Distribution (Cost per Claim)

p10

$10.73

p25

$23.44

Median

$45.30

p75

$67.68

p90

$123.93

p95

$127.93

p99

$137.92

50% of providers bill between $23.44 and $67.68 per claim for this code.

90% bill between $10.73 and $123.93.

Top 1% bill above $137.92.

About This Procedure

HCPCS code E0168 was billed by 37 providers across 15K claims, totaling $547K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.30

Providers Billing

National Spending

$547K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0168

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144371204	$99K	$143.02	3.2× median	Top 1%
2	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$94K	$35.94	0.8× median	Below Median
3	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$84K	$54.57	1.2× median	Above Median
4	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$38K	$48.46	1.1× median	Above Median
5	1730182023	$37K	$28.68	0.6× median	Below Median
6	Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies	$22K	$64.47	1.4× median	Above Median
7	1114032455	$21K	$127.44	2.8× median	Top 10%
8	1134303902	$16K	$38.33	0.8× median	Below Median
9	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$13K	$8.50	0.2× median	Below Median
10	1497783088	$12K	$13.54	0.3× median	Below Median
11	1609006147	$12K	$120.31	2.7× median	Above 75th
12	1255632394	$11K	$46.15	1.0× median	Above Median
13	1184685653	$10K	$10.22	0.2× median	Below Median
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$10K	$63.40	1.4× median	Above Median
15	1336252048	$9K	$127.70	2.8× median	Top 10%
16	1700119559	$7K	$11.07	0.2× median	Below Median
17	1669570172	$7K	$92.00	2.0× median	Above 75th
18	1669417531	$5K	$31.82	0.7× median	Below Median
19	1427153626	$5K	$15.72	0.3× median	Below Median
20	1962587832	$5K	$3.23	0.1× median	Below Median

Showing top 20 of 37 providers billing this code

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