#3869 of 11K

E0550

HCPCS Procedure Code

HCPCS code E0550 is the #3,869 most-billed Medicaid procedure code, with $1.1M in payments across 37K claims from 2018–2024. The national median cost per claim is $30.80. Costs vary widely — the 90th percentile is $78.15 per claim, 2.5× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

37K

Providers

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for E0550? Based on 40 providers billing this code nationally.

Median

$30.80

Average

$36.37

Std Dev

$25.38

Max

$98.27

Percentile Distribution (Cost per Claim)

p10

$9.10

p25

$17.25

Median

$30.80

p75

$44.77

p90

$78.15

p95

$86.87

p99

$95.65

50% of providers bill between $17.25 and $44.77 per claim for this code.

90% bill between $9.10 and $78.15.

Top 1% bill above $95.65.

About This Procedure

HCPCS code E0550 was billed by 42 providers across 37K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.80

Providers Billing

National Spending

$1.1M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0550

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1770581498	$291K	$46.08	1.5× median	Above 75th
2	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$105K	$37.72	1.2× median	Above Median
3	1386688414	$83K	$14.26	0.5× median	Below Median
4	1508885617	$80K	$28.94	0.9× median	Below Median
5	1326025669	$71K	$43.61	1.4× median	Above Median
6	1538143375	$45K	$28.50	0.9× median	Below Median
7	1902137409	$39K	$19.99	0.6× median	Below Median
8	1114923075	$39K	$35.63	1.2× median	Above Median
9	1588976815	$34K	$55.90	1.8× median	Above 75th
10	1407307614	$34K	$77.91	2.5× median	Above 75th
11	1750338851	$34K	$36.46	1.2× median	Above Median
12	1497389845	$31K	$34.46	1.1× median	Above Median
13	1336123678	$27K	$54.93	1.8× median	Above 75th
14	1497837280	$17K	$20.29	0.7× median	Below Median
15	1629507579	$17K	$31.39	1.0× median	Above Median
16	1548331895	$16K	$29.91	1.0× median	Below Median
17	1780663823	$16K	$17.65	0.6× median	Below Median
18	1487186847	$15K	$80.30	2.6× median	Top 10%
19	1063452829	$14K	$30.80	1.0× median	Below Median
20	1548360464	$12K	$16.05	0.5× median	Below Median

Showing top 20 of 42 providers billing this code

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