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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies | $6.3M |
| 2 | 1558368589 | $2.4M |
| 3 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $485K |
| 4 | 1134303902 | $417K |
| 5 | 1003154352 | $413K |
| 6 | 1508885617 | $299K |
| 7 | 1033289889 | $276K |
| 8 | 1376620815 | $180K |
| 9 | 1770581498 | $173K |
| 10 | 1992764658 | $134K |
| 11 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $118K |
| 12 | 1083615991 | $114K |
| 13 | 1902137409 | $114K |
| 14 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $107K |
| 15 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $95K |
| 16 | 1386688414 | $92K |
| 17 | 1649228909 | $91K |
| 18 | 1114923075 | $81K |
| 19 | 1124125349 | $65K |
| 20 | 1255632394 | $63K |
Showing top 20 of 179 providers billing this code