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#5694 of 11K

E1372

HCPCS Procedure Code

HCPCS code E1372 is the #5,694 most-billed Medicaid procedure code, with $152K in payments across 11K claims from 2018–2024. The national median cost per claim is $10.89. Costs vary widely — the 90th percentile is $41.70 per claim, 3.8× the median.

Total Paid

$152K

0.00% of all spending

Total Claims

11K

Providers

11

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for E1372? Based on 10 providers billing this code nationally.

Median

$10.89

Average

$21.72

Std Dev

$27.68

Max

$97.09

Percentile Distribution (Cost per Claim)

p10
$9.41
p25
$9.68
Median
$10.89
p75
$13.52
p90
$41.70
p95
$69.39
p99
$91.55

50% of providers bill between $9.68 and $13.52 per claim for this code.

90% bill between $9.41 and $41.70.

Top 1% bill above $91.55.

About This Procedure

HCPCS code E1372 was billed by 11 providers across 11K claims, totaling $152K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.89

Providers Billing

10

National Spending

$152K

Avg/Median Ratio

1.99×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for E1372

#ProviderTotal Paid
11508885617$118K
21871657437$11K
31821158692$8K
41326219478$6K
51386688414$4K
61710325253$2K
71154653236$1K
81821152471$924
9Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$742
101437597978$197
111477594877$0

Showing top 11 of 11 providers billing this code