#2297 of 11K

E0241

HCPCS Procedure Code

HCPCS code E0241 is the #2,297 most-billed Medicaid procedure code, with $7.0M in payments across 164K claims from 2018–2024. The national median cost per claim is $28.48.

Total Paid

$7.0M

0.00% of all spending

Total Claims

164K

Providers

118

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for E0241? Based on 115 providers billing this code nationally.

Median

$28.48

Average

$37.99

Std Dev

$43.09

Max

$353.31

Percentile Distribution (Cost per Claim)

p10

$17.27

p25

$21.19

Median

$28.48

p75

$36.46

p90

$50.04

p95

$118.56

p99

$223.46

50% of providers bill between $21.19 and $36.46 per claim for this code.

90% bill between $17.27 and $50.04.

Top 1% bill above $223.46.

About This Procedure

HCPCS code E0241 was billed by 118 providers across 164K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 156K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.48

Providers Billing

115

National Spending

$7.0M

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0241

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1245387943	$3.2M	$101.83	3.6× median	Top 10%
2	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$719K	$28.88	1.0× median	Above Median
3	Integra Partners Llc Troy, MI · Orthotic Fitter	$467K	$22.40	0.8× median	Below Median
4	1750316055	$361K	$25.90	0.9× median	Below Median
5	1215223169	$333K	$353.31	12.4× median	Top 1%
6	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$151K	$17.72	0.6× median	Below Median
7	1093716334	$137K	$30.30	1.1× median	Above Median
8	1558458489	$131K	$60.52	2.1× median	Top 10%
9	1699795054	$108K	$30.07	1.1× median	Above Median
10	1013911056	$97K	$50.67	1.8× median	Top 10%
11	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$75K	$19.27	0.7× median	Below Median
12	1134137730	$64K	$31.90	1.1× median	Above Median
13	1871575563	$58K	$17.31	0.6× median	Below Median
14	1629072665	$56K	$31.75	1.1× median	Above Median
15	1902815665	$55K	$21.06	0.7× median	Below Median
16	1144358839	$53K	$29.33	1.0× median	Above Median
17	1336736115	$51K	$21.21	0.7× median	Below Median
18	1780822445	$49K	$39.06	1.4× median	Above 75th
19	1710932173	$48K	$24.27	0.9× median	Below Median
20	1679570121	$45K	$139.40	4.9× median	Top 10%

Showing top 20 of 118 providers billing this code

Related Procedures

E0240$42.1M E0245$10.1M E0247$9.3M E0244$3.0M E0250$1.6M

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