E1020
HCPCS Procedure Code
HCPCS code E1020 is the #5,625 most-billed Medicaid procedure code, with $166K in payments across 14K claims from 2018–2024. The national median cost per claim is $15.05. Costs vary widely — the 90th percentile is $30.52 per claim, 2.0× the median.
Total Paid
$166K
0.00% of all spending
Total Claims
14K
Providers
29
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for E1020? Based on 29 providers billing this code nationally.
Median
$15.05
Average
$17.09
Std Dev
$12.96
Max
$53.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.96 and $20.86 per claim for this code.
90% bill between $5.83 and $30.52.
Top 1% bill above $53.76.
About This Procedure
HCPCS code E1020 was billed by 29 providers across 14K claims, totaling $166K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.05
Providers Billing
29
National Spending
$166K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E1020
| # | Provider | Total Paid |
|---|---|---|
| 1 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $52K |
| 2 | 1023096104 | $36K |
| 3 | 1730182023 | $29K |
| 4 | 1497783088 | $7K |
| 5 | 1821418187 | $6K |
| 6 | 1003834946 | $5K |
| 7 | 1134303902 | $5K |
| 8 | 1912995473 | $4K |
| 9 | 1053400960 | $3K |
| 10 | 1154434819 | $3K |
| 11 | 1003065418 | $2K |
| 12 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $2K |
| 13 | 1144522830 | $2K |
| 14 | 1053314021 | $2K |
| 15 | 1275523581 | $1K |
| 16 | 1699724401 | $1K |
| 17 | 1134120074 | $933 |
| 18 | 1659361947 | $919 |
| 19 | 1326077249 | $801 |
| 20 | 1740268614 | $701 |
Showing top 20 of 29 providers billing this code