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#1481 of 11K

E0630

HCPCS Procedure Code

HCPCS code E0630 is the #1,481 most-billed Medicaid procedure code, with $21.8M in payments across 803K claims from 2018–2024. The national median cost per claim is $23.70. Costs vary widely — the 90th percentile is $61.40 per claim, 2.6× the median.

Total Paid

$21.8M

0.00% of all spending

Total Claims

803K

Providers

716

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for E0630? Based on 708 providers billing this code nationally.

Median

$23.70

Average

$31.88

Std Dev

$27.84

Max

$221.38

Percentile Distribution (Cost per Claim)

p10
$9.77
p25
$15.27
Median
$23.70
p75
$39.99
p90
$61.40
p95
$80.91
p99
$139.12

50% of providers bill between $15.27 and $39.99 per claim for this code.

90% bill between $9.77 and $61.40.

Top 1% bill above $139.12.

About This Procedure

HCPCS code E0630 was billed by 716 providers across 803K claims, totaling $21.8M in Medicaid payments from 2018–2024. This code was used for 713K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.70

Providers Billing

708

National Spending

$21.8M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0630

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$2.1M
2Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$1.5M
31730182023$450K
41386688414$430K
5H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$370K
6Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$289K
71326077249$266K
81922006741$248K
9Integra Partners Llc

Troy, MI · Orthotic Fitter

$233K
101093716334$220K
11Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$214K
121407894348$209K
131255632394$205K
141083612022$178K
151669570172$174K
161750331484$168K
171972554939$167K
181427153626$164K
191801899414$148K
201831289826$145K

Showing top 20 of 716 providers billing this code