Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#703 of 11K

E0652

HCPCS Procedure Code

HCPCS code E0652 is the #703 most-billed Medicaid procedure code, with $101.6M in payments across 81K claims from 2018–2024. The national median cost per claim is $1,040.96. Costs vary widely — the 90th percentile is $4,029.48 per claim, 3.9× the median.

Total Paid

$101.6M

0.01% of all spending

Total Claims

81K

Providers

25

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for E0652? Based on 25 providers billing this code nationally.

Median

$1,040.96

Average

$1,539.22

Std Dev

$1,503.61

Max

$5,432.11

Percentile Distribution (Cost per Claim)

p10
$360.16
p25
$457.93
Median
$1,040.96
p75
$1,734.57
p90
$4,029.48
p95
$4,720.25
p99
$5,284.83

50% of providers bill between $457.93 and $1,734.57 per claim for this code.

90% bill between $360.16 and $4,029.48.

Top 1% bill above $5,284.83.

About This Procedure

HCPCS code E0652 was billed by 25 providers across 81K claims, totaling $101.6M in Medicaid payments from 2018–2024. This code was used for 73K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,040.96

Providers Billing

25

National Spending

$101.6M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0652

#ProviderTotal Paid
11427131424$79.6M
21124124953$9.1M
31891907747$4.6M
4Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$1.5M
51760459010$882K
61356321418$706K
71376883660$610K
81801060173$563K
91487137667$493K
101871065599$466K
111417096850$452K
12Integra Partners Llc

Troy, MI · Orthotic Fitter

$433K
131821487802$370K
141497395800$364K
151285025973$338K
161225309263$327K
171386957983$199K
181689665911$196K
191578564852$135K
201417273095$76K

Showing top 20 of 25 providers billing this code