#1798 of 11K

K0195

HCPCS Procedure Code

HCPCS code K0195 is the #1,798 most-billed Medicaid procedure code, with $13.7M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $4.65. Costs vary widely — the 90th percentile is $12.95 per claim, 2.8× the median.

Total Paid

$13.7M

0.00% of all spending

Total Claims

2.3M

Providers

1,179

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for K0195? Based on 1,163 providers billing this code nationally.

Median

$4.65

Average

$7.18

Std Dev

$13.01

Max

$242.73

Percentile Distribution (Cost per Claim)

p10

$1.35

p25

$2.47

Median

$4.65

p75

$8.50

p90

$12.95

p95

$16.54

p99

$42.11

50% of providers bill between $2.47 and $8.50 per claim for this code.

90% bill between $1.35 and $12.95.

Top 1% bill above $42.11.

About This Procedure

HCPCS code K0195 was billed by 1,179 providers across 2.3M claims, totaling $13.7M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.65

Providers Billing

1,163

National Spending

$13.7M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for K0195

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$488K	$8.86	1.9× median	Above 75th
2	1386688414	$428K	$9.17	2.0× median	Above 75th
3	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$412K	$13.08	2.8× median	Top 10%
4	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$252K	$2.65	0.6× median	Below Median
5	1730182023	$251K	$3.84	0.8× median	Below Median
6	1922046085	$198K	$16.04	3.4× median	Top 10%
7	1023096104	$190K	$5.74	1.2× median	Above Median
8	1174505549	$181K	$5.27	1.1× median	Above Median
9	1407894348	$181K	$4.71	1.0× median	Above Median
10	1013072214	$177K	$23.81	5.1× median	Top 10%
11	1699728428	$163K	$46.58	10.0× median	Top 1%
12	1336104769	$139K	$38.63	8.3× median	Top 10%
13	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$135K	$10.79	2.3× median	Above 75th
14	1598068512	$129K	$96.10	20.7× median	Top 1%
15	1366478901	$120K	$7.03	1.5× median	Above Median
16	1306856844	$110K	$8.52	1.8× median	Above 75th
17	1114915634	$108K	$16.48	3.5× median	Top 10%
18	1700119559	$102K	$10.65	2.3× median	Above 75th
19	1669844650	$96K	$13.73	3.0× median	Top 10%
20	1528037538	$95K	$10.45	2.2× median	Above 75th

Showing top 20 of 1,179 providers billing this code

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