#4047 of 11K

E0105

HCPCS Procedure Code

HCPCS code E0105 is the #4,047 most-billed Medicaid procedure code, with $899K in payments across 41K claims from 2018–2024. The national median cost per claim is $22.59.

Total Paid

$899K

0.00% of all spending

Total Claims

41K

Providers

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for E0105? Based on 93 providers billing this code nationally.

Median

$22.59

Average

$22.32

Std Dev

$9.61

Max

$49.48

Percentile Distribution (Cost per Claim)

p10

$11.30

p25

$15.90

Median

$22.59

p75

$28.22

p90

$32.57

p95

$39.23

p99

$45.87

50% of providers bill between $15.90 and $28.22 per claim for this code.

90% bill between $11.30 and $32.57.

Top 1% bill above $45.87.

About This Procedure

HCPCS code E0105 was billed by 96 providers across 41K claims, totaling $899K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.59

Providers Billing

National Spending

$899K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0105

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$130K	$27.74	1.2× median	Above Median
2	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$93K	$16.55	0.7× median	Below Median
3	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$72K	$22.45	1.0× median	Below Median
4	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$63K	$19.38	0.9× median	Below Median
5	1447567334	$49K	$30.71	1.4× median	Above 75th
6	1669570172	$35K	$28.27	1.3× median	Above 75th
7	1184716672	$34K	$22.59	1.0× median	Below Median
8	Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$32K	$24.46	1.1× median	Above Median
9	1922046085	$28K	$31.92	1.4× median	Above 75th
10	1710932173	$28K	$25.83	1.1× median	Above Median
11	1053314021	$24K	$30.97	1.4× median	Above 75th
12	1861576282	$23K	$49.48	2.2× median	Top 1%
13	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$20K	$22.69	1.0× median	Above Median
14	Integra Partners Llc Troy, MI · Orthotic Fitter	$16K	$12.02	0.5× median	Below Median
15	1619988284	$16K	$23.12	1.0× median	Above Median
16	1386688414	$16K	$29.84	1.3× median	Above 75th
17	1730182023	$15K	$17.62	0.8× median	Below Median
18	1265526396	$13K	$19.20	0.9× median	Below Median
19	1093716334	$12K	$11.87	0.5× median	Below Median
20	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$12K	$26.61	1.2× median	Above Median

Showing top 20 of 96 providers billing this code

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