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#2545 of 11K

E0607

HCPCS Procedure Code

HCPCS code E0607 is the #2,545 most-billed Medicaid procedure code, with $5.0M in payments across 189K claims from 2018–2024. The national median cost per claim is $23.10. Costs vary widely — the 90th percentile is $57.39 per claim, 2.5× the median.

Total Paid

$5.0M

0.00% of all spending

Total Claims

189K

Providers

232

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for E0607? Based on 209 providers billing this code nationally.

Median

$23.10

Average

$28.92

Std Dev

$23.16

Max

$161.19

Percentile Distribution (Cost per Claim)

p10
$5.32
p25
$14.73
Median
$23.10
p75
$38.02
p90
$57.39
p95
$67.63
p99
$97.09

50% of providers bill between $14.73 and $38.02 per claim for this code.

90% bill between $5.32 and $57.39.

Top 1% bill above $97.09.

About This Procedure

HCPCS code E0607 was billed by 232 providers across 189K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 163K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.10

Providers Billing

209

National Spending

$5.0M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0607

#ProviderTotal Paid
11851489702$872K
21104800440$567K
31194880526$510K
41962440891$238K
51366879603$217K
61700889227$186K
7Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$149K
81972660322$148K
91659363158$131K
101144244450$107K
11Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$99K
12Integra Partners Llc

Troy, MI · Orthotic Fitter

$98K
13Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$89K
141912145541$86K
15Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$86K
161710932173$85K
171881900306$81K
181013086594$73K
191376648501$71K
201659458073$69K

Showing top 20 of 232 providers billing this code