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#6922 of 11K

E1353

HCPCS Procedure Code

HCPCS code E1353 is the #6,922 most-billed Medicaid procedure code, with $36K in payments across 24K claims from 2018–2024. The national median cost per claim is $1.90. Costs vary widely — the 90th percentile is $12.58 per claim, 6.6× the median.

Total Paid

$36K

0.00% of all spending

Total Claims

24K

Providers

29

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for E1353? Based on 24 providers billing this code nationally.

Median

$1.90

Average

$6.64

Std Dev

$14.99

Max

$73.82

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.17
Median
$1.90
p75
$5.79
p90
$12.58
p95
$13.87
p99
$60.06

50% of providers bill between $0.17 and $5.79 per claim for this code.

90% bill between $0.04 and $12.58.

Top 1% bill above $60.06.

About This Procedure

HCPCS code E1353 was billed by 29 providers across 24K claims, totaling $36K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.90

Providers Billing

24

National Spending

$36K

Avg/Median Ratio

3.49×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for E1353

#ProviderTotal Paid
11992850689$12K
21184777286$6K
31447277264$4K
41629007745$3K
51639770183$2K
6Total Longterm Care Inc.

Aurora, CO · PACE Provider Organization

$2K
71659757268$1K
81366478901$1K
91184220485$1K
101689754046$891
111447210299$658
121023301561$593
131669764726$592
141508207804$350
15Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$248
161497933501$168
171598361891$143
181134167646$63
191922088129$31
201700958196$17

Showing top 20 of 29 providers billing this code