#4165 of 11K

E0248

HCPCS Procedure Code

HCPCS code E0248 is the #4,165 most-billed Medicaid procedure code, with $791K in payments across 5,751 claims from 2018–2024. The national median cost per claim is $112.79. Costs vary widely — the 90th percentile is $321.21 per claim, 2.8× the median.

Total Paid

$791K

0.00% of all spending

Total Claims

5,751

Providers

Avg Cost/Claim

$138

National Cost Distribution

How much do providers bill per claim for E0248? Based on 24 providers billing this code nationally.

Median

$112.79

Average

$138.36

Std Dev

$105.15

Max

$400.18

Percentile Distribution (Cost per Claim)

p10

$62.65

p25

$71.75

Median

$112.79

p75

$150.09

p90

$321.21

p95

$388.80

p99

$397.90

50% of providers bill between $71.75 and $150.09 per claim for this code.

90% bill between $62.65 and $321.21.

Top 1% bill above $397.90.

About This Procedure

HCPCS code E0248 was billed by 25 providers across 5,751 claims, totaling $791K in Medicaid payments from 2018–2024. This code was used for 5,160 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$112.79

Providers Billing

National Spending

$791K

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0248

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144371204	$99K	$164.54	1.5× median	Above 75th
2	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$98K	$390.27	3.5× median	Top 10%
3	Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$94K	$149.76	1.3× median	Above Median
4	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$80K	$114.04	1.0× median	Above Median
5	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$79K	$144.38	1.3× median	Above Median
6	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$61K	$126.91	1.1× median	Above Median
7	1447567334	$50K	$400.18	3.5× median	Top 1%
8	1972554939	$48K	$64.25	0.6× median	Below Median
9	1962440891	$29K	$182.90	1.6× median	Above 75th
10	1669570172	$26K	$151.08	1.3× median	Above 75th
11	1588994438	$25K	$80.25	0.7× median	Below Median
12	1740208685	$21K	$380.49	3.4× median	Top 10%
13	1053314021	$16K	$111.54	1.0× median	Below Median
14	1306140496	$14K	$61.97	0.5× median	Below Median
15	1558458489	$12K	$131.37	1.2× median	Above Median
16	Nationwide Children's Hospital Columbus, OH · Durable Medical Equipment & Medical Supplies	$12K	$92.15	0.8× median	Below Median
17	1760801963	$8K	$95.99	0.9× median	Below Median
18	Integra Partners Llc Troy, MI · Orthotic Fitter	$8K	$73.58	0.7× median	Below Median
19	1235389347	$4K	$66.27	0.6× median	Below Median
20	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$3K	$126.03	1.1× median	Above Median

Showing top 20 of 25 providers billing this code

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