#611 of 11K

E0470

HCPCS Procedure Code

HCPCS code E0470 is the #611 most-billed Medicaid procedure code, with $127.2M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $81.45.

Total Paid

$127.2M

0.01% of all spending

Total Claims

1.4M

Providers

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for E0470? Based on 1K providers billing this code nationally.

Median

$81.45

Average

$92.26

Std Dev

$84.23

Max

$2,341.29

Percentile Distribution (Cost per Claim)

p10

$33.30

p25

$54.02

Median

$81.45

p75

$115.11

p90

$147.18

p95

$176.25

p99

$330.03

50% of providers bill between $54.02 and $115.11 per claim for this code.

90% bill between $33.30 and $147.18.

Top 1% bill above $330.03.

About This Procedure

HCPCS code E0470 was billed by 1K providers across 1.4M claims, totaling $127.2M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.45

Providers Billing

National Spending

$127.2M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0470

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$4.8M	$401.92	4.9× median	Top 1%
2	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$2.2M	$121.08	1.5× median	Above 75th
3	1972554939	$2.2M	$120.51	1.5× median	Above 75th
4	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$2.2M	$103.62	1.3× median	Above Median
5	1922046085	$1.6M	$181.93	2.2× median	Top 10%
6	1851337604	$1.6M	$143.33	1.8× median	Above 75th
7	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$1.5M	$51.62	0.6× median	Below Median
8	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$1.5M	$109.60	1.3× median	Above Median
9	1407894348	$1.5M	$107.91	1.3× median	Above Median
10	1396851184	$1.4M	$63.07	0.8× median	Below Median
11	1306140496	$1.3M	$107.34	1.3× median	Above Median
12	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$1.2M	$81.07	1.0× median	Below Median
13	1033142484	$1.2M	$122.07	1.5× median	Above 75th
14	1801129135	$1.1M	$174.09	2.1× median	Top 10%
15	1003884149	$1.0M	$175.44	2.2× median	Top 10%
16	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$842K	$68.54	0.8× median	Below Median
17	1558531764	$789K	$256.72	3.2× median	Top 10%
18	1003154352	$774K	$86.65	1.1× median	Above Median
19	1700958196	$769K	$104.82	1.3× median	Above Median
20	1174749972	$744K	$72.40	0.9× median	Below Median

Showing top 20 of 1K providers billing this code

Related Procedures

E0466Home ventilator, any type, used with non-invasive interface$702.2M E0465Home ventilator, any type, used with invasive interface$582.0M E0471Respiratory assist device, bi-level with backup rate$48.6M E0467$914K E0480$102K

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