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#1773 of 11K

E0565

HCPCS Procedure Code

HCPCS code E0565 is the #1,773 most-billed Medicaid procedure code, with $14.2M in payments across 154K claims from 2018–2024. The national median cost per claim is $28.42. Costs vary widely — the 90th percentile is $60.80 per claim, 2.1× the median.

Total Paid

$14.2M

0.00% of all spending

Total Claims

154K

Providers

179

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for E0565? Based on 177 providers billing this code nationally.

Median

$28.42

Average

$52.57

Std Dev

$161.66

Max

$1,651.26

Percentile Distribution (Cost per Claim)

p10
$15.04
p25
$20.28
Median
$28.42
p75
$39.09
p90
$60.80
p95
$78.92
p99
$559.49

50% of providers bill between $20.28 and $39.09 per claim for this code.

90% bill between $15.04 and $60.80.

Top 1% bill above $559.49.

About This Procedure

HCPCS code E0565 was billed by 179 providers across 154K claims, totaling $14.2M in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.42

Providers Billing

177

National Spending

$14.2M

Avg/Median Ratio

1.85×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E0565

#ProviderTotal Paid
1The Promptcare Companies, Inc.

King Of Prussia, PA · Durable Medical Equipment & Medical Supplies

$6.3M
21558368589$2.4M
3Super Care Inc

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

$485K
41134303902$417K
51003154352$413K
61508885617$299K
71033289889$276K
81376620815$180K
91770581498$173K
101992764658$134K
11Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$118K
121083615991$114K
131902137409$114K
14Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$107K
15Medcare Equipment Company, Llc

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

$95K
161386688414$92K
171649228909$91K
181114923075$81K
191124125349$65K
201255632394$63K

Showing top 20 of 179 providers billing this code