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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588196794 | $41.5M |
| 2 | 1326011263 | $15.1M |
| 3 | 1609858752 | $13.3M |
| 4 | 1447406111 | $13.1M |
| 5 | 1326431404 | $12.7M |
| 6 | 1285957613 | $12.5M |
| 7 | 1801933510 | $11.1M |
| 8 | 1487624193 | $8.9M |
| 9 | 1922145457 | $8.8M |
| 10 | Advanced Respiratory, Inc. Saint Paul, MN · Durable Medical Equipment & Medical Supplies | $8.4M |
| 11 | 1093112435 | $8.4M |
| 12 | Integra Partners Llc Troy, MI · Orthotic Fitter | $8.2M |
| 13 | 1962439232 | $7.9M |
| 14 | 1831236363 | $7.4M |
| 15 | Chesapeake Rehab Equipment Inc Ashland, VA · Durable Medical Equipment & Medical Supplies Customized Equipment | $7.0M |
| 16 | 1336437631 | $6.7M |
| 17 | 1902829500 | $6.4M |
| 18 | 1295153674 | $6.2M |
| 19 | 1083941785 | $6.2M |
| 20 | 1184883472 | $6.0M |
Showing top 20 of 1K providers billing this code