E1238
HCPCS Procedure Code
HCPCS code E1238 is the #5,488 most-billed Medicaid procedure code, with $189K in payments across 1K claims from 2018–2024. The national median cost per claim is $146.43. Costs vary widely — the 90th percentile is $580.46 per claim, 4.0× the median.
Total Paid
$189K
0.00% of all spending
Total Claims
1K
Providers
7
Avg Cost/Claim
$166
National Cost Distribution
How much do providers bill per claim for E1238? Based on 7 providers billing this code nationally.
Median
$146.43
Average
$291.55
Std Dev
$406.35
Max
$1,212.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $129.52 and $153.29 per claim for this code.
90% bill between $121.74 and $580.46.
Top 1% bill above $1,149.29.
About This Procedure
HCPCS code E1238 was billed by 7 providers across 1K claims, totaling $189K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$146.43
Providers Billing
7
National Spending
$189K
Avg/Median Ratio
1.99×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for E1238
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003924713 | $80K |
| 2 | 1265526396 | $66K |
| 3 | 1609858752 | $21K |
| 4 | 1710081930 | $9K |
| 5 | 1154338184 | $7K |
| 6 | 1457315418 | $3K |
| 7 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $2K |
Showing top 7 of 7 providers billing this code