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#3670 of 11K

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)

p10
$73.16
p25
$128.81
Median
$160.42
p75
$373.82
p90
$1,334.77
p95
$1,635.38
p99
$1,875.88

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

#ProviderTotal Paid
1Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$678K
21144458209$328K
31164426144$174K
41336123678$54K
51215091343$43K
61093112435$25K
71174573513$17K
81487624193$15K
91497837280$13K
101972953362$5K

Showing top 10 of 10 providers billing this code