#1854 of 11K

E2103

HCPCS Procedure Code

HCPCS code E2103 is the #1,854 most-billed Medicaid procedure code, with $12.7M in payments across 142K claims from 2018–2024. The national median cost per claim is $85.49. Costs vary widely — the 90th percentile is $211.62 per claim, 2.5× the median.

Total Paid

$12.7M

0.00% of all spending

Total Claims

142K

Providers

123

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for E2103? Based on 118 providers billing this code nationally.

Median

$85.49

Average

$105.26

Std Dev

$74.17

Max

$290.40

Percentile Distribution (Cost per Claim)

p10

$22.15

p25

$42.46

Median

$85.49

p75

$161.40

p90

$211.62

p95

$230.58

p99

$263.90

50% of providers bill between $42.46 and $161.40 per claim for this code.

90% bill between $22.15 and $211.62.

Top 1% bill above $263.90.

About This Procedure

HCPCS code E2103 was billed by 123 providers across 142K claims, totaling $12.7M in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.49

Providers Billing

118

National Spending

$12.7M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for E2103

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$1.9M	$92.24	1.1× median	Above Median
2	1245259282	$1.6M	$71.42	0.8× median	Below Median
3	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$670K	$123.82	1.4× median	Above Median
4	Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies	$640K	$53.60	0.6× median	Below Median
5	1700889227	$537K	$56.21	0.7× median	Below Median
6	1033142948	$536K	$206.43	2.4× median	Above 75th
7	1447321674	$512K	$221.35	2.6× median	Top 10%
8	1992736425	$505K	$86.95	1.0× median	Above Median
9	1376797704	$343K	$264.12	3.1× median	Top 1%
10	1649244138	$306K	$81.12	0.9× median	Below Median
11	1255740387	$284K	$241.02	2.8× median	Top 10%
12	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$278K	$156.82	1.8× median	Above Median
13	Benzer Co 1 Llc Byers, CO · Pharmacy Community/Retail Pharmacy	$276K	$160.00	1.9× median	Above Median
14	1356716534	$269K	$62.13	0.7× median	Below Median
15	1093711996	$206K	$119.36	1.4× median	Above Median
16	1346254620	$199K	$178.08	2.1× median	Above 75th
17	1811097504	$180K	$60.80	0.7× median	Below Median
18	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$167K	$84.53	1.0× median	Below Median
19	Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies	$164K	$66.42	0.8× median	Below Median
20	1114167111	$162K	$127.14	1.5× median	Above Median

Showing top 20 of 123 providers billing this code

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