#3608 of 11K

E1150

HCPCS Procedure Code

HCPCS code E1150 is the #3,608 most-billed Medicaid procedure code, with $1.4M in payments across 32K claims from 2018–2024. The national median cost per claim is $43.37.

Total Paid

$1.4M

0.00% of all spending

Total Claims

32K

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for E1150? Based on 27 providers billing this code nationally.

Median

$43.37

Average

$53.41

Std Dev

$42.64

Max

$242.77

Percentile Distribution (Cost per Claim)

p10

$24.86

p25

$30.64

Median

$43.37

p75

$58.98

p90

$78.69

p95

$92.85

p99

$204.05

50% of providers bill between $30.64 and $58.98 per claim for this code.

90% bill between $24.86 and $78.69.

Top 1% bill above $204.05.

About This Procedure

HCPCS code E1150 was billed by 27 providers across 32K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.37

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E1150

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1811060544	$245K	$39.91	0.9× median	Below Median
2	1235582560	$172K	$37.60	0.9× median	Below Median
3	1033289889	$143K	$70.77	1.6× median	Above 75th
4	1164426144	$138K	$49.57	1.1× median	Above Median
5	1326107848	$135K	$58.65	1.4× median	Above Median
6	1376620815	$131K	$48.15	1.1× median	Above Median
7	1306961792	$103K	$49.87	1.1× median	Above Median
8	1831499789	$62K	$59.30	1.4× median	Above 75th
9	1669475596	$62K	$43.37	1.0× median	Below Median
10	1457348807	$42K	$37.55	0.9× median	Below Median
11	1578645446	$42K	$55.25	1.3× median	Above Median
12	1316982143	$30K	$55.49	1.3× median	Above Median
13	1639156185	$29K	$23.77	0.5× median	Below Median
14	1518930254	$19K	$65.12	1.5× median	Above 75th
15	1205900958	$17K	$15.92	0.4× median	Below Median
16	1912945577	$15K	$29.17	0.7× median	Below Median
17	1255382123	$14K	$27.13	0.6× median	Below Median
18	1447200753	$10K	$242.77	5.6× median	Top 1%
19	1669417531	$7K	$32.10	0.7× median	Below Median
20	1497810048	$5K	$65.43	1.5× median	Above 75th

Showing top 20 of 27 providers billing this code

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