#727 of 11K

E1007

HCPCS Procedure Code

HCPCS code E1007 is the #727 most-billed Medicaid procedure code, with $95.1M in payments across 28K claims from 2018–2024. The national median cost per claim is $3,203.03.

Total Paid

$95.1M

0.01% of all spending

Total Claims

28K

Providers

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for E1007? Based on 91 providers billing this code nationally.

Median

$3,203.03

Average

$3,391.74

Std Dev

$1,711.85

Max

$10,385.30

Percentile Distribution (Cost per Claim)

p10

$1,266.37

p25

$2,380.28

Median

$3,203.03

p75

$4,501.45

p90

$5,127.72

p95

$5,500.79

p99

$8,814.39

50% of providers bill between $2,380.28 and $4,501.45 per claim for this code.

90% bill between $1,266.37 and $5,127.72.

Top 1% bill above $8,814.39.

About This Procedure

HCPCS code E1007 was billed by 92 providers across 28K claims, totaling $95.1M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3,203.03

Providers Billing

National Spending

$95.1M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1007

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639296817	$14.6M	$4,124.49	1.3× median	Above Median
2	1790714624	$9.0M	$2,699.67	0.8× median	Below Median
3	1043209794	$6.4M	$4,797.25	1.5× median	Above 75th
4	1518231547	$5.6M	$4,509.02	1.4× median	Above 75th
5	1184883472	$5.3M	$4,120.19	1.3× median	Above Median
6	1568491496	$4.9M	$2,939.21	0.9× median	Below Median
7	1487624193	$4.3M	$4,829.05	1.5× median	Above 75th
8	1114966181	$3.7M	$4,252.34	1.3× median	Above Median
9	1487718250	$3.2M	$2,013.59	0.6× median	Below Median
10	1851320774	$2.9M	$2,635.45	0.8× median	Below Median
11	1891750691	$2.9M	$4,831.06	1.5× median	Above 75th
12	1770108169	$2.1M	$2,955.93	0.9× median	Below Median
13	1003889684	$1.7M	$5,581.16	1.7× median	Top 10%
14	1841263621	$1.7M	$3,848.91	1.2× median	Above Median
15	1932484979	$1.6M	$5,420.41	1.7× median	Top 10%
16	1346588225	$1.4M	$3,632.08	1.1× median	Above Median
17	1538576509	$1.4M	$2,814.19	0.9× median	Below Median
18	1376073031	$1.2M	$2,743.25	0.9× median	Below Median
19	1205837879	$1.1M	$2,913.04	0.9× median	Below Median
20	1801181003	$1.1M	$4,993.57	1.6× median	Above 75th

Showing top 20 of 92 providers billing this code

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E1012$21.0M E1002$7.9M E1010$312K E1008$148K E1009$29K

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