E0471
Respiratory assist device, bi-level with backup rate
Respiratory assist device, bi-level with backup rate is the #1,007 most-billed Medicaid procedure code, with $48.6M in payments across 224K claims from 2018–2024. The national median cost per claim is $210.29.
Total Paid
$48.6M
0.00% of all spending
Total Claims
224K
Providers
299
Avg Cost/Claim
$217
National Cost Distribution
How much do providers bill per claim for E0471? Based on 294 providers billing this code nationally.
Median
$210.29
Average
$228.04
Std Dev
$144.26
Max
$1,435.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $134.60 and $295.71 per claim for this code.
90% bill between $88.75 and $358.78.
Top 1% bill above $529.89.
About This Procedure
HCPCS code E0471 (Respiratory assist device, bi-level with backup rate) was billed by 299 providers across 224K claims, totaling $48.6M in Medicaid payments from 2018–2024. This code was used for 208K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$210.29
Providers Billing
294
National Spending
$48.6M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E0471
| # | Provider | Total Paid |
|---|---|---|
| 1 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $4.4M |
| 2 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $3.1M |
| 3 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $2.0M |
| 4 | 1922103142 | $1.2M |
| 5 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $1.2M |
| 6 | 1922046085 | $1.2M |
| 7 | 1396851184 | $1.2M |
| 8 | 1033289889 | $1.1M |
| 9 | 1366580391 | $877K |
| 10 | 1972665131 | $850K |
| 11 | 1255632394 | $835K |
| 12 | 1538128293 | $712K |
| 13 | 1679636013 | $703K |
| 14 | 1043627060 | $653K |
| 15 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $637K |
| 16 | 1376620815 | $634K |
| 17 | 1801129135 | $588K |
| 18 | 1174749972 | $587K |
| 19 | 1477748119 | $572K |
| 20 | 1013952613 | $570K |
Showing top 20 of 299 providers billing this code