E1354
HCPCS Procedure Code
HCPCS code E1354 is the #6,696 most-billed Medicaid procedure code, with $47K in payments across 5,881 claims from 2018–2024. The national median cost per claim is $5.14. Costs vary widely — the 90th percentile is $16.66 per claim, 3.2× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
5,881
Providers
10
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for E1354? Based on 7 providers billing this code nationally.
Median
$5.14
Average
$6.97
Std Dev
$8.58
Max
$24.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.20 and $8.35 per claim for this code.
90% bill between $0.44 and $16.66.
Top 1% bill above $23.57.
About This Procedure
HCPCS code E1354 was billed by 10 providers across 5,881 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 4,603 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.14
Providers Billing
7
National Spending
$47K
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for E1354
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548331895 | $40K |
| 2 | 1447277264 | $4K |
| 3 | 1639770183 | $1K |
| 4 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $950 |
| 5 | 1659757268 | $933 |
| 6 | 1689754046 | $278 |
| 7 | 1023301561 | $116 |
| 8 | 1558848408 | $0 |
| 9 | 1801063755 | $0 |
| 10 | 1124422183 | $0 |
Showing top 10 of 10 providers billing this code