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#3097 of 11K

E0190

HCPCS Procedure Code

HCPCS code E0190 is the #3,097 most-billed Medicaid procedure code, with $2.5M in payments across 25K claims from 2018–2024. The national median cost per claim is $22.04. Costs vary widely — the 90th percentile is $213.08 per claim, 9.7× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

25K

Providers

24

Avg Cost/Claim

$100

National Cost Distribution

How much do providers bill per claim for E0190? Based on 23 providers billing this code nationally.

Median

$22.04

Average

$64.82

Std Dev

$79.81

Max

$255.33

Percentile Distribution (Cost per Claim)

p10
$13.15
p25
$16.72
Median
$22.04
p75
$79.35
p90
$213.08
p95
$235.79
p99
$251.46

50% of providers bill between $16.72 and $79.35 per claim for this code.

90% bill between $13.15 and $213.08.

Top 1% bill above $251.46.

About This Procedure

HCPCS code E0190 was billed by 24 providers across 25K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.04

Providers Billing

23

National Spending

$2.5M

Avg/Median Ratio

2.94×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0190

#ProviderTotal Paid
11144358839$1.9M
21659365849$98K
31346248341$83K
41265768147$75K
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$69K
61497753214$58K
71598157778$44K
81215096318$34K
9Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$21K
101669635173$17K
111124425871$12K
121245572866$11K
131396138327$9K
141538669163$8K
151871575563$7K
16Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$7K
17Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$7K
181629072665$4K
191184716672$850
201376640292$771

Showing top 20 of 24 providers billing this code