#6511 of 11K

E0325

HCPCS Procedure Code

HCPCS code E0325 is the #6,511 most-billed Medicaid procedure code, with $60K in payments across 15K claims from 2018–2024. The national median cost per claim is $4.22.

Total Paid

$60K

0.00% of all spending

Total Claims

15K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for E0325? Based on 27 providers billing this code nationally.

Median

$4.22

Average

$4.93

Std Dev

$2.73

Max

$12.48

Percentile Distribution (Cost per Claim)

p10

$2.35

p25

$2.94

Median

$4.22

p75

$6.45

p90

$7.65

p95

$10.29

p99

$12.18

50% of providers bill between $2.94 and $6.45 per claim for this code.

90% bill between $2.35 and $7.65.

Top 1% bill above $12.18.

About This Procedure

HCPCS code E0325 was billed by 28 providers across 15K claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.22

Providers Billing

National Spending

$60K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0325

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$9K	$3.29	0.8× median	Below Median
2	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$9K	$2.99	0.7× median	Below Median
3	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$7K	$12.48	3.0× median	Top 1%
4	1053303016	$7K	$4.99	1.2× median	Above Median
5	1144358839	$6K	$5.64	1.3× median	Above Median
6	1205837879	$5K	$3.93	0.9× median	Below Median
7	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$3K	$2.89	0.7× median	Below Median
8	1932324621	$2K	$3.33	0.8× median	Below Median
9	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$2K	$6.69	1.6× median	Above 75th
10	1306881263	$2K	$3.46	0.8× median	Below Median
11	1295798627	$1K	$7.11	1.7× median	Above 75th
12	1952844334	$1K	$2.65	0.6× median	Below Median
13	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$1K	$2.56	0.6× median	Below Median
14	1336736115	$620	$4.22	1.0× median	Below Median
15	1427153626	$340	$11.34	2.7× median	Top 10%
16	1669570172	$316	$6.20	1.5× median	Above Median
17	1710932173	$210	$5.54	1.3× median	Above Median
18	Integra Partners Llc Troy, MI · Orthotic Fitter	$198	$1.76	0.4× median	Below Median
19	1548303605	$196	$7.52	1.8× median	Above 75th
20	1306843826	$169	$4.45	1.1× median	Above Median

Showing top 20 of 28 providers billing this code

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