#3495 of 11K

E0250

HCPCS Procedure Code

HCPCS code E0250 is the #3,495 most-billed Medicaid procedure code, with $1.6M in payments across 105K claims from 2018–2024. The national median cost per claim is $12.71. Costs vary widely — the 90th percentile is $27.68 per claim, 2.2× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

105K

Providers

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for E0250? Based on 96 providers billing this code nationally.

Median

$12.71

Average

$15.36

Std Dev

$9.47

Max

$56.69

Percentile Distribution (Cost per Claim)

p10

$7.89

p25

$10.16

Median

$12.71

p75

$17.10

p90

$27.68

p95

$34.27

p99

$50.82

50% of providers bill between $10.16 and $17.10 per claim for this code.

90% bill between $7.89 and $27.68.

Top 1% bill above $50.82.

About This Procedure

HCPCS code E0250 was billed by 97 providers across 105K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.71

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0250

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1407894348	$334K	$56.69	4.5× median	Top 1%
2	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$137K	$13.32	1.0× median	Above Median
3	1720196983	$86K	$13.00	1.0× median	Above Median
4	1992759153	$81K	$11.90	0.9× median	Below Median
5	1578609327	$77K	$16.63	1.3× median	Above Median
6	1083613889	$50K	$9.79	0.8× median	Below Median
7	1487741765	$44K	$27.28	2.1× median	Above 75th
8	1760483168	$41K	$17.16	1.4× median	Above 75th
9	1922006741	$39K	$50.52	4.0× median	Top 10%
10	1376627224	$39K	$9.14	0.7× median	Below Median
11	1396128484	$33K	$15.79	1.2× median	Above Median
12	1942284146	$32K	$14.79	1.2× median	Above Median
13	1528051836	$31K	$15.27	1.2× median	Above Median
14	1760400014	$30K	$9.52	0.7× median	Below Median
15	1588994438	$28K	$14.51	1.1× median	Above Median
16	1184649659	$26K	$7.43	0.6× median	Below Median
17	1043215106	$26K	$17.90	1.4× median	Above 75th
18	1528168846	$26K	$15.58	1.2× median	Above Median
19	1003990698	$24K	$12.59	1.0× median	Below Median
20	1568415826	$21K	$14.82	1.2× median	Above Median

Showing top 20 of 97 providers billing this code

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