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#867 of 11K

E1392

HCPCS Procedure Code

HCPCS code E1392 is the #867 most-billed Medicaid procedure code, with $65.5M in payments across 4.1M claims from 2018–2024. The national median cost per claim is $10.81. Costs vary widely — the 90th percentile is $24.62 per claim, 2.3× the median.

Total Paid

$65.5M

0.01% of all spending

Total Claims

4.1M

Providers

2K

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for E1392? Based on 2K providers billing this code nationally.

Median

$10.81

Average

$15.52

Std Dev

$60.48

Max

$2,500.00

Percentile Distribution (Cost per Claim)

p10
$3.91
p25
$6.80
Median
$10.81
p75
$16.81
p90
$24.62
p95
$32.09
p99
$68.45

50% of providers bill between $6.80 and $16.81 per claim for this code.

90% bill between $3.91 and $24.62.

Top 1% bill above $68.45.

About This Procedure

HCPCS code E1392 was billed by 2K providers across 4.1M claims, totaling $65.5M in Medicaid payments from 2018–2024. This code was used for 3.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.81

Providers Billing

2K

National Spending

$65.5M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1392

#ProviderTotal Paid
11902071095$3.4M
21992850689$3.4M
3Super Care Inc

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

$2.2M
4Integrated Home Care Services Inc.

Miramar, FL · Case Management

$1.9M
5Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$1.6M
61912092594$1.4M
71255632394$1.2M
8Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$1.1M
91447277264$757K
101972554939$696K
111639770183$678K
121023415163$655K
131598361891$625K
14Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$614K
15H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$591K
16Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$520K
17Total Longterm Care Inc.

Aurora, CO · PACE Provider Organization

$490K
181720387624$461K
191972500940$446K
201922046085$418K

Showing top 20 of 2K providers billing this code