Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#218 of 11K

E0466

Home ventilator, any type, used with non-invasive interface

Home ventilator, any type, used with non-invasive interface is the #218 most-billed Medicaid procedure code, with $702.2M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $317.50.

Total Paid

$702.2M

0.06% of all spending

Total Claims

1.9M

Providers

1K

Avg Cost/Claim

$368

National Cost Distribution

How much do providers bill per claim for E0466? Based on 1K providers billing this code nationally.

Median

$317.50

Average

$354.85

Std Dev

$200.85

Max

$2,341.22

Percentile Distribution (Cost per Claim)

p10
$142.77
p25
$221.78
Median
$317.50
p75
$451.84
p90
$605.93
p95
$735.53
p99
$931.94

50% of providers bill between $221.78 and $451.84 per claim for this code.

90% bill between $142.77 and $605.93.

Top 1% bill above $931.94.

About This Procedure

HCPCS code E0466 (Home ventilator, any type, used with non-invasive interface) was billed by 1K providers across 1.9M claims, totaling $702.2M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$317.50

Providers Billing

1K

National Spending

$702.2M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0466

#ProviderTotal Paid
11336166347$30.5M
2Super Care Inc

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

$24.4M
31083615991$17.1M
4Integra Partners Llc

Troy, MI · Orthotic Fitter

$14.5M
51538143375$8.2M
61093873598$7.8M
7The Promptcare Companies, Inc.

King Of Prussia, PA · Durable Medical Equipment & Medical Supplies

$7.3M
8Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$6.7M
9Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$6.7M
101902098965$6.6M
111134637325$6.4M
12Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$6.3M
131033289889$5.9M
141912092594$5.6M
151891299681$5.4M
16Advanced Respiratory, Inc.

Saint Paul, MN · Durable Medical Equipment & Medical Supplies

$5.1M
171366678294$5.0M
18Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$4.8M
191871738153$4.8M
201376519918$3.8M

Showing top 20 of 1K providers billing this code