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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992850689 | $12K |
| 2 | 1184777286 | $6K |
| 3 | 1447277264 | $4K |
| 4 | 1629007745 | $3K |
| 5 | 1639770183 | $2K |
| 6 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $2K |
| 7 | 1659757268 | $1K |
| 8 | 1366478901 | $1K |
| 9 | 1184220485 | $1K |
| 10 | 1689754046 | $891 |
| 11 | 1447210299 | $658 |
| 12 | 1023301561 | $593 |
| 13 | 1669764726 | $592 |
| 14 | 1508207804 | $350 |
| 15 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $248 |
| 16 | 1497933501 | $168 |
| 17 | 1598361891 | $143 |
| 18 | 1134167646 | $63 |
| 19 | 1922088129 | $31 |
| 20 | 1700958196 | $17 |
Showing top 20 of 29 providers billing this code