E0486
Oral device for obstructive sleep apnea
Oral device for obstructive sleep apnea is the #3,768 most-billed Medicaid procedure code, with $1.2M in payments across 970 claims from 2018–2024. The national median cost per claim is $1,338.54.
Total Paid
$1.2M
0.00% of all spending
Total Claims
970
Providers
6
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for E0486? Based on 6 providers billing this code nationally.
Median
$1,338.54
Average
$1,484.73
Std Dev
$691.16
Max
$2,776.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,037.12 and $1,565.14 per claim for this code.
90% bill between $934.51 and $2,181.15.
Top 1% bill above $2,717.10.
About This Procedure
HCPCS code E0486 (Oral device for obstructive sleep apnea) was billed by 6 providers across 970 claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 958 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,338.54
Providers Billing
6
National Spending
$1.2M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0486
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053607218 | $586K |
| 2 | 1376532671 | $272K |
| 3 | 1881703700 | $200K |
| 4 | 1639480973 | $106K |
| 5 | 1003969288 | $22K |
| 6 | 1609523166 | $13K |
Showing top 6 of 6 providers billing this code