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#246 of 11K

E1399

Durable medical equipment, miscellaneous

Durable medical equipment, miscellaneous is the #246 most-billed Medicaid procedure code, with $587.9M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $104.06. Costs vary widely — the 90th percentile is $1,272.54 per claim, 12.2× the median.

Total Paid

$587.9M

0.05% of all spending

Total Claims

1.5M

Providers

1K

Avg Cost/Claim

$401

National Cost Distribution

How much do providers bill per claim for E1399? Based on 926 providers billing this code nationally.

Median

$104.06

Average

$446.97

Std Dev

$813.38

Max

$7,229.80

Percentile Distribution (Cost per Claim)

p10
$15.75
p25
$53.21
Median
$104.06
p75
$526.95
p90
$1,272.54
p95
$1,895.56
p99
$4,000.06

50% of providers bill between $53.21 and $526.95 per claim for this code.

90% bill between $15.75 and $1,272.54.

Top 1% bill above $4,000.06.

About This Procedure

HCPCS code E1399 (Durable medical equipment, miscellaneous) was billed by 1K providers across 1.5M claims, totaling $587.9M in Medicaid payments from 2018–2024. This code was used for 892K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$104.06

Providers Billing

926

National Spending

$587.9M

Avg/Median Ratio

4.30×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E1399

#ProviderTotal Paid
11588196794$41.5M
21326011263$15.1M
31609858752$13.3M
41447406111$13.1M
51326431404$12.7M
61285957613$12.5M
71801933510$11.1M
81487624193$8.9M
91922145457$8.8M
10Advanced Respiratory, Inc.

Saint Paul, MN · Durable Medical Equipment & Medical Supplies

$8.4M
111093112435$8.4M
12Integra Partners Llc

Troy, MI · Orthotic Fitter

$8.2M
131962439232$7.9M
141831236363$7.4M
15Chesapeake Rehab Equipment Inc

Ashland, VA · Durable Medical Equipment & Medical Supplies Customized Equipment

$7.0M
161336437631$6.7M
171902829500$6.4M
181295153674$6.2M
191083941785$6.2M
201184883472$6.0M

Showing top 20 of 1K providers billing this code