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#304 of 11K

E0784

External ambulatory infusion pump, insulin

External ambulatory infusion pump, insulin is the #304 most-billed Medicaid procedure code, with $461.7M in payments across 459K claims from 2018–2024. The national median cost per claim is $1,188.30. Costs vary widely — the 90th percentile is $3,585.92 per claim, 3.0× the median.

Total Paid

$461.7M

0.04% of all spending

Total Claims

459K

Providers

91

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for E0784? Based on 91 providers billing this code nationally.

Median

$1,188.30

Average

$1,580.22

Std Dev

$1,365.38

Max

$5,656.08

Percentile Distribution (Cost per Claim)

p10
$224.91
p25
$408.75
Median
$1,188.30
p75
$2,697.11
p90
$3,585.92
p95
$3,869.31
p99
$4,470.37

50% of providers bill between $408.75 and $2,697.11 per claim for this code.

90% bill between $224.91 and $3,585.92.

Top 1% bill above $4,470.37.

About This Procedure

HCPCS code E0784 (External ambulatory infusion pump, insulin) was billed by 91 providers across 459K claims, totaling $461.7M in Medicaid payments from 2018–2024. This code was used for 401K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,188.30

Providers Billing

91

National Spending

$461.7M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0784

#ProviderTotal Paid
1Minimed Distribution Corp.

Northridge, CA · Durable Medical Equipment & Medical Supplies

$93.6M
21619295516$53.0M
3Degc Enterprises (U.s.), Inc.

Clearwater, FL · Durable Medical Equipment & Medical Supplies

$39.6M
4Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$32.7M
5Edwards Health Care Services, Inc.

Hudson, OH · Durable Medical Equipment & Medical Supplies

$31.0M
61962731570$18.8M
71184777286$13.0M
81033142948$12.7M
91609024397$11.2M
10J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$10.0M
11Edwards Health Care Services Inc.

Morehead City, NC · Durable Medical Equipment & Medical Supplies

$7.7M
12Byram Healthcare Centers, Inc.

Downers Grove, IL · Durable Medical Equipment & Medical Supplies

$7.1M
131477509628$7.0M
141174504765$6.8M
15Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$5.6M
161720468812$5.4M
17Medical Express Depot Inc.

Pittsburgh, PA · Durable Medical Equipment & Medical Supplies

$5.3M
181164537452$5.2M
191932240702$4.9M
20Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$4.8M

Showing top 20 of 91 providers billing this code