K0007
HCPCS Procedure Code
HCPCS code K0007 is the #1,927 most-billed Medicaid procedure code, with $11.4M in payments across 184K claims from 2018–2024. The national median cost per claim is $54.90. Costs vary widely — the 90th percentile is $113.39 per claim, 2.1× the median.
Total Paid
$11.4M
0.00% of all spending
Total Claims
184K
Providers
249
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for K0007? Based on 245 providers billing this code nationally.
Median
$54.90
Average
$62.43
Std Dev
$45.16
Max
$342.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.68 and $78.93 per claim for this code.
90% bill between $20.93 and $113.39.
Top 1% bill above $220.65.
About This Procedure
HCPCS code K0007 was billed by 249 providers across 184K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 168K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.90
Providers Billing
245
National Spending
$11.4M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for K0007
| # | Provider | Total Paid |
|---|---|---|
| 1 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $1.9M |
| 2 | 1386688414 | $554K |
| 3 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $458K |
| 4 | 1922046085 | $456K |
| 5 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $451K |
| 6 | 1083612022 | $416K |
| 7 | 1407894348 | $376K |
| 8 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $297K |
| 9 | 1669570172 | $254K |
| 10 | 1972554939 | $253K |
| 11 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $246K |
| 12 | 1730182023 | $194K |
| 13 | 1326077249 | $177K |
| 14 | 1831289826 | $171K |
| 15 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $159K |
| 16 | 1750331484 | $139K |
| 17 | 1215042619 | $135K |
| 18 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $133K |
| 19 | 1154338184 | $132K |
| 20 | 1710325253 | $120K |
Showing top 20 of 249 providers billing this code