E1031
HCPCS Procedure Code
HCPCS code E1031 is the #5,563 most-billed Medicaid procedure code, with $176K in payments across 14K claims from 2018–2024. The national median cost per claim is $11.45. Costs vary widely — the 90th percentile is $27.67 per claim, 2.4× the median.
Total Paid
$176K
0.00% of all spending
Total Claims
14K
Providers
26
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for E1031? Based on 25 providers billing this code nationally.
Median
$11.45
Average
$13.36
Std Dev
$9.00
Max
$35.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.52 and $17.39 per claim for this code.
90% bill between $3.75 and $27.67.
Top 1% bill above $34.06.
About This Procedure
HCPCS code E1031 was billed by 26 providers across 14K claims, totaling $176K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.45
Providers Billing
25
National Spending
$176K
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E1031
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285783712 | $48K |
| 2 | 1174749972 | $26K |
| 3 | 1730182023 | $23K |
| 4 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $15K |
| 5 | 1235372848 | $11K |
| 6 | 1578609327 | $10K |
| 7 | 1669570172 | $8K |
| 8 | 1629281779 | $7K |
| 9 | 1235389347 | $6K |
| 10 | 1609989540 | $4K |
| 11 | 1376573048 | $3K |
| 12 | 1427153626 | $3K |
| 13 | 1063487304 | $2K |
| 14 | 1467765073 | $1K |
| 15 | 1033217617 | $1K |
| 16 | 1386688414 | $1K |
| 17 | 1316198633 | $1K |
| 18 | 1811971872 | $1K |
| 19 | 1518350677 | $1K |
| 20 | 1497837280 | $895 |
Showing top 20 of 26 providers billing this code