E1235
HCPCS Procedure Code
HCPCS code E1235 is the #3,670 most-billed Medicaid procedure code, with $1.4M in payments across 8K claims from 2018–2024. The national median cost per claim is $160.42. Costs vary widely — the 90th percentile is $1,334.77 per claim, 8.3× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
8K
Providers
10
Avg Cost/Claim
$179
National Cost Distribution
How much do providers bill per claim for E1235? Based on 10 providers billing this code nationally.
Median
$160.42
Average
$453.12
Std Dev
$634.45
Max
$1,936.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $128.81 and $373.82 per claim for this code.
90% bill between $73.16 and $1,334.77.
Top 1% bill above $1,875.88.
About This Procedure
HCPCS code E1235 was billed by 10 providers across 8K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$160.42
Providers Billing
10
National Spending
$1.4M
Avg/Median Ratio
2.82×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E1235
| # | Provider | Total Paid |
|---|---|---|
| 1 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $678K |
| 2 | 1144458209 | $328K |
| 3 | 1164426144 | $174K |
| 4 | 1336123678 | $54K |
| 5 | 1215091343 | $43K |
| 6 | 1093112435 | $25K |
| 7 | 1174573513 | $17K |
| 8 | 1487624193 | $15K |
| 9 | 1497837280 | $13K |
| 10 | 1972953362 | $5K |
Showing top 10 of 10 providers billing this code