#2084 of 11K

E0247

HCPCS Procedure Code

HCPCS code E0247 is the #2,084 most-billed Medicaid procedure code, with $9.3M in payments across 136K claims from 2018–2024. The national median cost per claim is $75.27.

Total Paid

$9.3M

0.00% of all spending

Total Claims

136K

Providers

216

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for E0247? Based on 212 providers billing this code nationally.

Median

$75.27

Average

$75.32

Std Dev

$33.85

Max

$288.00

Percentile Distribution (Cost per Claim)

p10

$34.34

p25

$57.45

Median

$75.27

p75

$90.21

p90

$111.23

p95

$127.03

p99

$162.95

50% of providers bill between $57.45 and $90.21 per claim for this code.

90% bill between $34.34 and $111.23.

Top 1% bill above $162.95.

About This Procedure

HCPCS code E0247 was billed by 216 providers across 136K claims, totaling $9.3M in Medicaid payments from 2018–2024. This code was used for 126K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.27

Providers Billing

212

National Spending

$9.3M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0247

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$1.4M	$72.52	1.0× median	Below Median
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$522K	$85.58	1.1× median	Above Median
3	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$353K	$49.19	0.7× median	Below Median
4	1558458489	$343K	$99.80	1.3× median	Above 75th
5	1053314021	$321K	$68.29	0.9× median	Below Median
6	1851328157	$309K	$85.18	1.1× median	Above Median
7	1346248341	$274K	$56.27	0.7× median	Below Median
8	1093716334	$230K	$74.25	1.0× median	Below Median
9	1497703516	$221K	$86.01	1.1× median	Above Median
10	1245387943	$215K	$77.74	1.0× median	Above Median
11	1386688414	$198K	$50.98	0.7× median	Below Median
12	Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$186K	$70.00	0.9× median	Below Median
13	Integra Partners Llc Troy, MI · Orthotic Fitter	$179K	$55.64	0.7× median	Below Median
14	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$169K	$56.57	0.8× median	Below Median
15	1255632394	$133K	$68.96	0.9× median	Below Median
16	1669570172	$125K	$78.04	1.0× median	Above Median
17	1326077249	$120K	$88.25	1.2× median	Above Median
18	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$119K	$68.35	0.9× median	Below Median
19	1235389347	$118K	$58.65	0.8× median	Below Median
20	1235372848	$117K	$64.13	0.9× median	Below Median

Showing top 20 of 216 providers billing this code

Related Procedures

E0240$42.1M E0245$10.1M E0241$7.0M E0244$3.0M E0250$1.6M

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