#4708 of 11K

E0184

HCPCS Procedure Code

HCPCS code E0184 is the #4,708 most-billed Medicaid procedure code, with $439K in payments across 25K claims from 2018–2024. The national median cost per claim is $19.54. Costs vary widely — the 90th percentile is $64.69 per claim, 3.3× the median.

Total Paid

$439K

0.00% of all spending

Total Claims

25K

Providers

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for E0184? Based on 63 providers billing this code nationally.

Median

$19.54

Average

$27.89

Std Dev

$25.79

Max

$113.32

Percentile Distribution (Cost per Claim)

p10

$4.63

p25

$10.30

Median

$19.54

p75

$33.88

p90

$64.69

p95

$82.58

p99

$105.79

50% of providers bill between $10.30 and $33.88 per claim for this code.

90% bill between $4.63 and $64.69.

Top 1% bill above $105.79.

About This Procedure

HCPCS code E0184 was billed by 69 providers across 25K claims, totaling $439K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.54

Providers Billing

National Spending

$439K

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0184

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144371204	$54K	$33.00	1.7× median	Above Median
2	1023017647	$47K	$21.93	1.1× median	Above Median
3	1922006741	$47K	$14.90	0.8× median	Below Median
4	1447277264	$29K	$49.14	2.5× median	Above 75th
5	1780663823	$20K	$12.03	0.6× median	Below Median
6	1902934250	$17K	$31.66	1.6× median	Above Median
7	1821418187	$17K	$38.27	2.0× median	Above 75th
8	1568464295	$16K	$14.42	0.7× median	Below Median
9	1659480424	$14K	$9.38	0.5× median	Below Median
10	1114355922	$14K	$29.95	1.5× median	Above Median
11	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$13K	$10.12	0.5× median	Below Median
12	1497703516	$12K	$79.57	4.1× median	Top 10%
13	1093716334	$11K	$101.18	5.2× median	Top 10%
14	1447297940	$11K	$11.07	0.6× median	Below Median
15	1588603492	$10K	$27.58	1.4× median	Above Median
16	1174505549	$9K	$13.04	0.7× median	Below Median
17	1376612895	$8K	$30.39	1.6× median	Above Median
18	Total Longterm Care Inc. Aurora, CO · PACE Provider Organization	$8K	$34.09	1.7× median	Above 75th
19	1306990619	$8K	$113.32	5.8× median	Top 1%
20	1851456180	$6K	$38.55	2.0× median	Above 75th

Showing top 20 of 69 providers billing this code

Related Procedures

E0194$25.7M E0185$4.0M E0190$2.5M E0181$1.4M E0193$1.0M

← All procedures Top providers →