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#1007 of 11K

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)

p10
$88.75
p25
$134.60
Median
$210.29
p75
$295.71
p90
$358.78
p95
$434.17
p99
$529.89

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

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$4.4M
2Super Care Inc

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

$3.1M
3H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$2.0M
41922103142$1.2M
5Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$1.2M
61922046085$1.2M
71396851184$1.2M
81033289889$1.1M
91366580391$877K
101972665131$850K
111255632394$835K
121538128293$712K
131679636013$703K
141043627060$653K
15Apple Homecare Medical Supply Llc

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

$637K
161376620815$634K
171801129135$588K
181174749972$587K
191477748119$572K
201013952613$570K

Showing top 20 of 299 providers billing this code