Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3310 of 11K

E0635

HCPCS Procedure Code

HCPCS code E0635 is the #3,310 most-billed Medicaid procedure code, with $2.0M in payments across 23K claims from 2018–2024. The national median cost per claim is $67.94.

Total Paid

$2.0M

0.00% of all spending

Total Claims

23K

Providers

40

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for E0635? Based on 39 providers billing this code nationally.

Median

$67.94

Average

$75.58

Std Dev

$88.44

Max

$447.16

Percentile Distribution (Cost per Claim)

p10
$11.13
p25
$26.34
Median
$67.94
p75
$96.79
p90
$103.51
p95
$159.20
p99
$425.87

50% of providers bill between $26.34 and $96.79 per claim for this code.

90% bill between $11.13 and $103.51.

Top 1% bill above $425.87.

About This Procedure

HCPCS code E0635 was billed by 40 providers across 23K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.94

Providers Billing

39

National Spending

$2.0M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0635

#ProviderTotal Paid
11053314021$972K
2Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$128K
31386688414$121K
41447277264$107K
5H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$103K
61083612022$101K
71235194945$71K
81922046085$54K
91003988676$35K
10Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$25K
11Medcare Equipment Company, Llc

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

$21K
121750338851$20K
131255632394$19K
141891768719$18K
151285772343$18K
161982012951$16K
171528066628$14K
181841263621$14K
191083655476$13K
201407894348$13K

Showing top 20 of 40 providers billing this code