#2008 of 11K

E2611

General wheelchair seat cushion, width less than twenty-two inches

General wheelchair seat cushion, width less than twenty-two inches is the #2,008 most-billed Medicaid procedure code, with $10.2M in payments across 147K claims from 2018–2024. The national median cost per claim is $61.71. Costs vary widely — the 90th percentile is $158.46 per claim, 2.6× the median.

Total Paid

$10.2M

0.00% of all spending

Total Claims

147K

Providers

259

Avg Cost/Claim

$69

National Cost Distribution

How much do providers bill per claim for E2611? Based on 256 providers billing this code nationally.

Median

$61.71

Average

$75.17

Std Dev

$55.67

Max

$297.61

Percentile Distribution (Cost per Claim)

p10

$17.36

p25

$35.73

Median

$61.71

p75

$100.97

p90

$158.46

p95

$188.62

p99

$245.88

50% of providers bill between $35.73 and $100.97 per claim for this code.

90% bill between $17.36 and $158.46.

Top 1% bill above $245.88.

About This Procedure

HCPCS code E2611 (General wheelchair seat cushion, width less than twenty-two inches) was billed by 259 providers across 147K claims, totaling $10.2M in Medicaid payments from 2018–2024. This code was used for 129K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.71

Providers Billing

256

National Spending

$10.2M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2611

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$1.3M	$64.11	1.0× median	Above Median
2	1326077249	$622K	$121.48	2.0× median	Above 75th
3	1497703516	$511K	$250.26	4.1× median	Top 1%
4	Integra Partners Llc Troy, MI · Orthotic Fitter	$418K	$109.28	1.8× median	Above 75th
5	1730182023	$334K	$39.06	0.6× median	Below Median
6	1093716334	$327K	$51.68	0.8× median	Below Median
7	1134303902	$300K	$92.34	1.5× median	Above Median
8	1497783088	$231K	$98.59	1.6× median	Above Median
9	1659361947	$224K	$85.92	1.4× median	Above Median
10	1053314021	$220K	$109.43	1.8× median	Above 75th
11	1346711884	$185K	$297.61	4.8× median	Top 1%
12	1245387943	$184K	$46.43	0.8× median	Below Median
13	1528066628	$176K	$27.00	0.4× median	Below Median
14	1750331484	$168K	$84.89	1.4× median	Above Median
15	1417986357	$160K	$96.09	1.6× median	Above Median
16	1457314130	$158K	$94.03	1.5× median	Above Median
17	1154434819	$155K	$48.26	0.8× median	Below Median
18	1821418187	$132K	$63.08	1.0× median	Above Median
19	1003154352	$121K	$90.54	1.5× median	Above Median
20	1285772343	$112K	$41.18	0.7× median	Below Median

Showing top 20 of 259 providers billing this code

Related Procedures

E2617$50.4M E2609$42.7M E2607$12.4M E2620$9.6M E2601General wheelchair back cushion, width less than twenty-two inches$4.3M

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