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#495 of 11K

E0562

Humidifier, heated, used with positive airway pressure device

Humidifier, heated, used with positive airway pressure device is the #495 most-billed Medicaid procedure code, with $184.3M in payments across 7.0M claims from 2018–2024. The national median cost per claim is $18.68. Costs vary widely — the 90th percentile is $113.28 per claim, 6.1× the median.

Total Paid

$184.3M

0.02% of all spending

Total Claims

7.0M

Providers

3K

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for E0562? Based on 3K providers billing this code nationally.

Median

$18.68

Average

$39.48

Std Dev

$47.41

Max

$296.26

Percentile Distribution (Cost per Claim)

p10
$6.01
p25
$10.15
Median
$18.68
p75
$46.84
p90
$113.28
p95
$151.62
p99
$204.79

50% of providers bill between $10.15 and $46.84 per claim for this code.

90% bill between $6.01 and $113.28.

Top 1% bill above $204.79.

About This Procedure

HCPCS code E0562 (Humidifier, heated, used with positive airway pressure device) was billed by 3K providers across 7.0M claims, totaling $184.3M in Medicaid payments from 2018–2024. This code was used for 6.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.68

Providers Billing

3K

National Spending

$184.3M

Avg/Median Ratio

2.11×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E0562

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$6.0M
2Super Care Inc

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

$2.0M
3Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$2.0M
41396851184$1.8M
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.8M
61972554939$1.7M
7Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$1.7M
81033142484$1.5M
91922046085$1.4M
101962426122$1.3M
11H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$1.3M
121043276819$1.3M
131205995164$1.3M
141407894348$1.3M
151902098965$1.0M
16Home Medical Equipment Specialists Llc

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

$1.0M
171265526396$1.0M
181952310310$935K
191134303902$904K
201801129135$888K

Showing top 20 of 3K providers billing this code