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#697 of 11K

K0001

Standard wheelchair

Standard wheelchair is the #697 most-billed Medicaid procedure code, with $102.8M in payments across 6.4M claims from 2018–2024. The national median cost per claim is $12.27. Costs vary widely — the 90th percentile is $29.60 per claim, 2.4× the median.

Total Paid

$102.8M

0.01% of all spending

Total Claims

6.4M

Providers

3K

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for K0001? Based on 3K providers billing this code nationally.

Median

$12.27

Average

$16.19

Std Dev

$19.87

Max

$566.63

Percentile Distribution (Cost per Claim)

p10
$4.38
p25
$7.18
Median
$12.27
p75
$20.74
p90
$29.60
p95
$37.19
p99
$64.76

50% of providers bill between $7.18 and $20.74 per claim for this code.

90% bill between $4.38 and $29.60.

Top 1% bill above $64.76.

About This Procedure

HCPCS code K0001 (Standard wheelchair) was billed by 3K providers across 6.4M claims, totaling $102.8M in Medicaid payments from 2018–2024. This code was used for 5.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.27

Providers Billing

3K

National Spending

$102.8M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0001

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$6.4M
2H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$4.1M
3Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$2.5M
41407894348$2.1M
51386688414$1.9M
6Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$1.9M
71922046085$1.5M
81174749972$1.1M
91255632394$1.0M
10Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$979K
11Integra Partners Llc

Troy, MI · Orthotic Fitter

$936K
12Home Medical Equipment Specialists Llc

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

$922K
131730182023$909K
141730289737$712K
151548336423$658K
161972554939$643K
171083612022$616K
181598068512$572K
191093716334$564K
20Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$545K

Showing top 20 of 3K providers billing this code