E1038
HCPCS Procedure Code
HCPCS code E1038 is the #3,250 most-billed Medicaid procedure code, with $2.1M in payments across 328K claims from 2018–2024. The national median cost per claim is $4.70. Costs vary widely — the 90th percentile is $14.17 per claim, 3.0× the median.
Total Paid
$2.1M
0.00% of all spending
Total Claims
328K
Providers
235
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for E1038? Based on 226 providers billing this code nationally.
Median
$4.70
Average
$8.21
Std Dev
$14.33
Max
$133.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.81 and $7.35 per claim for this code.
90% bill between $0.93 and $14.17.
Top 1% bill above $60.60.
About This Procedure
HCPCS code E1038 was billed by 235 providers across 328K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 307K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.70
Providers Billing
226
National Spending
$2.1M
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E1038
| # | Provider | Total Paid |
|---|---|---|
| 1 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $653K |
| 2 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $108K |
| 3 | 1730182023 | $90K |
| 4 | 1093716334 | $89K |
| 5 | 1538669163 | $73K |
| 6 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $59K |
| 7 | 1023017647 | $52K |
| 8 | 1063710986 | $51K |
| 9 | 1447277264 | $47K |
| 10 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $47K |
| 11 | 1922046085 | $43K |
| 12 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $34K |
| 13 | 1386688414 | $30K |
| 14 | 1053314021 | $30K |
| 15 | 1629072665 | $28K |
| 16 | 1871575563 | $27K |
| 17 | 1427153626 | $25K |
| 18 | 1285772343 | $21K |
| 19 | 1437154713 | $20K |
| 20 | 1790881530 | $17K |
Showing top 20 of 235 providers billing this code