W0137
HCPCS Procedure Code
HCPCS code W0137 is the #3,866 most-billed Medicaid procedure code, with $1.1M in payments across 30K claims from 2018–2024. The national median cost per claim is $49.64. Costs vary widely — the 90th percentile is $210.72 per claim, 4.2× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
30K
Providers
16
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for W0137? Based on 15 providers billing this code nationally.
Median
$49.64
Average
$118.03
Std Dev
$150.65
Max
$591.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.65 and $187.95 per claim for this code.
90% bill between $24.33 and $210.72.
Top 1% bill above $538.04.
About This Procedure
HCPCS code W0137 was billed by 16 providers across 30K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.64
Providers Billing
15
National Spending
$1.1M
Avg/Median Ratio
2.38×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for W0137
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972693968 | $279K |
| 2 | 1730207861 | $165K |
| 3 | 1427123595 | $130K |
| 4 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $92K |
| 5 | 1205837879 | $88K |
| 6 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $71K |
| 7 | 1568417558 | $67K |
| 8 | 1043215106 | $61K |
| 9 | 1972558898 | $45K |
| 10 | 1598766396 | $40K |
| 11 | 1306025655 | $12K |
| 12 | 1922071034 | $9K |
| 13 | 1487723433 | $6K |
| 14 | 1346322997 | $4K |
| 15 | 1285671081 | $2K |
| 16 | 1528168077 | $0 |
Showing top 16 of 16 providers billing this code