E0561
HCPCS Procedure Code
HCPCS code E0561 is the #5,881 most-billed Medicaid procedure code, with $125K in payments across 16K claims from 2018–2024. The national median cost per claim is $8.75. Costs vary widely — the 90th percentile is $35.94 per claim, 4.1× the median.
Total Paid
$125K
0.00% of all spending
Total Claims
16K
Providers
27
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for E0561? Based on 27 providers billing this code nationally.
Median
$8.75
Average
$15.36
Std Dev
$17.68
Max
$75.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.74 and $12.71 per claim for this code.
90% bill between $5.04 and $35.94.
Top 1% bill above $70.64.
About This Procedure
HCPCS code E0561 was billed by 27 providers across 16K claims, totaling $125K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.75
Providers Billing
27
National Spending
$125K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E0561
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $30K |
| 2 | 1962797373 | $15K |
| 3 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $15K |
| 4 | 1861593188 | $12K |
| 5 | 1578650115 | $10K |
| 6 | 1073585816 | $8K |
| 7 | 1184704025 | $7K |
| 8 | 1710169677 | $5K |
| 9 | 1366580391 | $4K |
| 10 | 1376640292 | $3K |
| 11 | 1619053568 | $3K |
| 12 | 1083617393 | $3K |
| 13 | 1033420484 | $2K |
| 14 | 1295150308 | $2K |
| 15 | 1750352340 | $1K |
| 16 | 1790093144 | $1K |
| 17 | 1851337604 | $1K |
| 18 | 1629049820 | $858 |
| 19 | 1659363158 | $677 |
| 20 | 1184650756 | $669 |
Showing top 20 of 27 providers billing this code