#253 of 11K

E0601

Continuous positive airway pressure (CPAP) device

Continuous positive airway pressure (CPAP) device is the #253 most-billed Medicaid procedure code, with $564.5M in payments across 13.7M claims from 2018–2024. The national median cost per claim is $35.30.

Total Paid

$564.5M

0.05% of all spending

Total Claims

13.7M

Providers

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for E0601? Based on 4K providers billing this code nationally.

Median

$35.30

Average

$41.13

Std Dev

$36.85

Max

$608.43

Percentile Distribution (Cost per Claim)

p10

$15.06

p25

$23.11

Median

$35.30

p75

$49.72

p90

$66.13

p95

$80.82

p99

$179.20

50% of providers bill between $23.11 and $49.72 per claim for this code.

90% bill between $15.06 and $66.13.

Top 1% bill above $179.20.

About This Procedure

HCPCS code E0601 (Continuous positive airway pressure (CPAP) device) was billed by 4K providers across 13.7M claims, totaling $564.5M in Medicaid payments from 2018–2024. This code was used for 12.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.30

Providers Billing

National Spending

$564.5M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0601

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$13.4M	$166.54	4.7× median	Top 10%
2	1396851184	$6.5M	$32.72	0.9× median	Below Median
3	1972554939	$5.5M	$50.60	1.4× median	Above 75th
4	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$5.0M	$41.82	1.2× median	Above Median
5	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$5.0M	$44.98	1.3× median	Above Median
6	1407894348	$5.0M	$45.21	1.3× median	Above Median
7	Integra Partners Llc Troy, MI · Orthotic Fitter	$4.6M	$38.66	1.1× median	Above Median
8	1962426122	$4.2M	$34.34	1.0× median	Below Median
9	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$3.9M	$63.76	1.8× median	Above 75th
10	1033142484	$3.9M	$46.77	1.3× median	Above Median
11	1205995164	$3.8M	$97.83	2.8× median	Top 10%
12	1851337604	$3.7M	$50.86	1.4× median	Above 75th
13	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$3.2M	$17.23	0.5× median	Below Median
14	1043276819	$2.9M	$89.95	2.5× median	Top 10%
15	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$2.9M	$56.09	1.6× median	Above 75th
16	1922046085	$2.8M	$70.23	2.0× median	Top 10%
17	Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment	$2.3M	$32.49	0.9× median	Below Median
18	1306140496	$2.3M	$46.82	1.3× median	Above Median
19	1265526396	$2.3M	$54.97	1.6× median	Above 75th
20	1306886700	$2.3M	$28.28	0.8× median	Below Median

Showing top 20 of 4K providers billing this code

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