#4073 of 11K

E0135

HCPCS Procedure Code

HCPCS code E0135 is the #4,073 most-billed Medicaid procedure code, with $872K in payments across 30K claims from 2018–2024. The national median cost per claim is $30.33.

Total Paid

$872K

0.00% of all spending

Total Claims

30K

Providers

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for E0135? Based on 72 providers billing this code nationally.

Median

$30.33

Average

$32.30

Std Dev

$15.85

Max

$98.46

Percentile Distribution (Cost per Claim)

p10

$14.80

p25

$22.83

Median

$30.33

p75

$41.17

p90

$49.51

p95

$53.71

p99

$76.19

50% of providers bill between $22.83 and $41.17 per claim for this code.

90% bill between $14.80 and $49.51.

Top 1% bill above $76.19.

About This Procedure

HCPCS code E0135 was billed by 73 providers across 30K claims, totaling $872K in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.33

Providers Billing

National Spending

$872K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0135

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053314021	$101K	$22.41	0.7× median	Below Median
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$64K	$43.98	1.5× median	Above 75th
3	1114267127	$63K	$18.15	0.6× median	Below Median
4	1891787594	$45K	$30.29	1.0× median	Below Median
5	1720067515	$44K	$42.21	1.4× median	Above 75th
6	Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier	$42K	$30.38	1.0× median	Above Median
7	1265768147	$41K	$33.44	1.1× median	Above Median
8	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$35K	$21.21	0.7× median	Below Median
9	1538669163	$32K	$63.96	2.1× median	Top 10%
10	1265526396	$32K	$35.03	1.2× median	Above Median
11	1013934694	$26K	$56.13	1.9× median	Top 10%
12	1003885799	$25K	$34.66	1.1× median	Above Median
13	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$25K	$40.43	1.3× median	Above Median
14	1306836465	$23K	$26.75	0.9× median	Below Median
15	1407894348	$18K	$34.32	1.1× median	Above Median
16	Integra Partners Llc Troy, MI · Orthotic Fitter	$18K	$98.46	3.2× median	Top 1%
17	1487649349	$18K	$42.96	1.4× median	Above 75th
18	1851337604	$17K	$43.65	1.4× median	Above 75th
19	1275523581	$16K	$29.37	1.0× median	Below Median
20	Nationwide Children's Hospital Columbus, OH · Durable Medical Equipment & Medical Supplies	$16K	$41.08	1.4× median	Above Median

Showing top 20 of 73 providers billing this code

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