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#6436 of 11K

E0912

HCPCS Procedure Code

HCPCS code E0912 is the #6,436 most-billed Medicaid procedure code, with $65K in payments across 1,946 claims from 2018–2024. The national median cost per claim is $30.22.

Total Paid

$65K

0.00% of all spending

Total Claims

1,946

Providers

11

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for E0912? Based on 11 providers billing this code nationally.

Median

$30.22

Average

$34.19

Std Dev

$19.59

Max

$77.22

Percentile Distribution (Cost per Claim)

p10
$17.76
p25
$18.29
Median
$30.22
p75
$42.26
p90
$53.56
p95
$65.39
p99
$74.85

50% of providers bill between $18.29 and $42.26 per claim for this code.

90% bill between $17.76 and $53.56.

Top 1% bill above $74.85.

About This Procedure

HCPCS code E0912 was billed by 11 providers across 1,946 claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 1,611 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.22

Providers Billing

11

National Spending

$65K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E0912

#ProviderTotal Paid
11053314021$16K
21083612022$11K
3Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$11K
41114032455$9K
51740268614$9K
6Palmetto Oxygen Llc

Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

$4K
71154338184$3K
8Medcare Equipment Company, Llc

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

$790
91255632394$533
101144450685$482
111750331484$224

Showing top 11 of 11 providers billing this code

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