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#3601 of 11K

E0181

HCPCS Procedure Code

HCPCS code E0181 is the #3,601 most-billed Medicaid procedure code, with $1.4M in payments across 187K claims from 2018–2024. The national median cost per claim is $6.77. Costs vary widely — the 90th percentile is $13.91 per claim, 2.1× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

187K

Providers

207

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for E0181? Based on 204 providers billing this code nationally.

Median

$6.77

Average

$8.25

Std Dev

$7.70

Max

$87.03

Percentile Distribution (Cost per Claim)

p10
$2.64
p25
$4.41
Median
$6.77
p75
$9.97
p90
$13.91
p95
$18.67
p99
$29.05

50% of providers bill between $4.41 and $9.97 per claim for this code.

90% bill between $2.64 and $13.91.

Top 1% bill above $29.05.

About This Procedure

HCPCS code E0181 was billed by 207 providers across 187K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 170K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.77

Providers Billing

204

National Spending

$1.4M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0181

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$385K
2Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$107K
31386688414$59K
41710259551$35K
51780625533$35K
61013934694$31K
7Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$30K
8Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$28K
91730182023$26K
10Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$23K
11Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$22K
121831289826$19K
131659480424$18K
141710923255$18K
151114267127$17K
161083655476$17K
17Healthkeeperz, Inc

Pembroke, NC · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$16K
181427153626$16K
19H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$15K
201851328157$14K

Showing top 20 of 207 providers billing this code