E0465
Home ventilator, any type, used with invasive interface
Home ventilator, any type, used with invasive interface is the #249 most-billed Medicaid procedure code, with $582.0M in payments across 824K claims from 2018–2024. The national median cost per claim is $583.21.
Total Paid
$582.0M
0.05% of all spending
Total Claims
824K
Providers
327
Avg Cost/Claim
$706
National Cost Distribution
How much do providers bill per claim for E0465? Based on 324 providers billing this code nationally.
Median
$583.21
Average
$607.63
Std Dev
$278.84
Max
$2,001.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $419.53 and $736.12 per claim for this code.
90% bill between $306.76 and $902.04.
Top 1% bill above $1,646.66.
About This Procedure
HCPCS code E0465 (Home ventilator, any type, used with invasive interface) was billed by 327 providers across 824K claims, totaling $582.0M in Medicaid payments from 2018–2024. This code was used for 612K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$583.21
Providers Billing
324
National Spending
$582.0M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0465
| # | Provider | Total Paid |
|---|---|---|
| 1 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $41.3M |
| 2 | The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies | $30.4M |
| 3 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $30.2M |
| 4 | 1083615991 | $19.6M |
| 5 | 1871738153 | $15.9M |
| 6 | 1902137409 | $15.0M |
| 7 | 1922103142 | $12.9M |
| 8 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $12.8M |
| 9 | 1093873598 | $9.8M |
| 10 | 1073680799 | $9.5M |
| 11 | 1912923301 | $8.4M |
| 12 | 1538128293 | $8.4M |
| 13 | Integra Partners Llc Troy, MI · Orthotic Fitter | $8.1M |
| 14 | 1477748119 | $7.9M |
| 15 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $7.7M |
| 16 | 1710978390 | $6.9M |
| 17 | 1861480048 | $6.8M |
| 18 | 1992764658 | $6.5M |
| 19 | 1558368589 | $6.3M |
| 20 | 1902098965 | $6.2M |
Showing top 20 of 327 providers billing this code