Average Medicaid Durable Medical Equipment (DME) Payments in New York, NY: $14.25
Avg. Paid
$14.25
Range
$0.00 – $56.24
Total Claims
60,732
Providers
11
Typical Payment Range
Typical Medicaid Durable Medical Equipment (DME) payments fall between $23.43 and $52.57 per claim (median: $34.48). The top 10% of payments exceed $74.77.
Based on per-provider averages across all Medicaid claims in this category.
Durable medical equipment includes items like wheelchairs, walkers, hospital beds, oxygen equipment, and other devices prescribed for home use.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Durable Medical Equipment (DME) in New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nucare Pharmacy Inc.
1789 1St Ave. |
$18.04 | 28,943 | 28,740 |
|
Confucius Pharmacy Inc
7 Bowery Street |
$12.58 | 23,478 | 23,367 |
|
City Medical Of Upper East Side, Pllc
336 E 86Th St |
$2.15 | 7,110 | 7,060 |
|
East Coast Orthotic & Prosthetic Corp.
161 Fort Washington Ave |
$38.58 | 316 | 315 |
|
Erra Surgical Supplies
4228 Broadway |
$21.66 | 251 | 250 |
|
Care One Home Medical Equipment, Inc.
2230 1St Ave |
$56.24 | 221 | 216 |
|
John I Nwankwo
160 Madison Ave Apt 18E |
$0.00 | 182 | 182 |
|
American Medical Products Inc
1405 5Th Ave |
$15.61 | 144 | 142 |
|
Megan Purcell
148 E 38Th St |
$0.00 | 45 | 45 |
|
Upper Manhattan Pharma Inc
1728 Amsterdam Ave |
$22.70 | 27 | 27 |
|
Stefani Rinde-Oberferst
274 Madison Ave Rm 1501 |
$0.00 | 15 | 15 |
What to Expect: Durable Medical Equipment (DME)
Your doctor prescribes DME based on your medical needs. A DME supplier will deliver the equipment to your home and provide instruction on its use. Some equipment is purchased while other items are rented. Coverage and costs vary based on the specific items and your insurance plan. Maintenance and repairs may be covered.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| E1390 | Oxygen concentrator | $50.11 | 37,800,973 | 4,544 |
| E0431 | Portable gaseous 02 | $12.11 | 19,275,377 | 3,584 |
| E0260 | Hosp bed semi-electr w/ matt | $28.71 | 3,307,380 | 1,909 |
| E0143 | Walker folding wheeled w/o s | $35.15 | 1,938,570 | 1,529 |
| E0114 | Crutch underarm pair no wood | $29.53 | 1,513,534 | 729 |
| E0470 | Rad w/o backup non-inv intfc | $91.06 | 1,396,444 | 1,333 |
| E0443 | Portable 02 contents, gas | $32.17 | 618,081 | 529 |
| E0163 | Commode chair with fixed arm | $32.80 | 481,207 | 568 |
| E0434 | Portable liquid 02 | $24.75 | 397,221 | 111 |
| E0295 | Hosp bed semi-elect w/o matt | $41.43 | 242,333 | 344 |
| E0471 | Rad w/backup non inv intrfc | $216.63 | 224,137 | 275 |
| E0424 | Stationary compressed gas 02 | $95.28 | 211,299 | 137 |
| E0442 | Stationary o2 contents, liq | $38.75 | 191,352 | 56 |
| E0100 | Cane adjust/fixed with tip | $9.77 | 176,614 | 248 |
| E0441 | Stationary o2 contents, gas | $49.26 | 154,595 | 69 |
| E0439 | Stationary liquid 02 | $65.01 | 146,074 | 77 |
| E0165 | Commode chair with detacharm | $15.77 | 107,253 | 177 |
| E0250 | Hosp bed fixed ht w/ mattres | $15.24 | 105,445 | 128 |
| E0255 | Hospital bed var ht w/ mattr | $25.92 | 57,426 | 68 |
| E0105 | Cane adjust/fixed quad/3 pro | $21.71 | 41,422 | 99 |
| E0135 | Walker folding adjust/fixed | $29.27 | 29,788 | 74 |
| E0140 | Walker w trunk support | $2.97 | 20,933 | 6 |
| E0110 | Crutch forearm pair | $26.25 | 4,151 | 12 |
| E0251 | Hosp bed fixd ht w/o mattres | $9.09 | 3,815 | 4 |
| E0116 | Crutch underarm each no wood | $14.93 | 328 | 3 |
| E0148 | Heavyduty walker no wheels | $29.60 | 118 | 5 |
| E0130 | Walker rigid adjust/fixed ht | $0.00 | 39 | 1 |
| E1391 | Oxygen concentrator, dual | $122.47 | 38 | 2 |
| E0290 | Hosp bed fx ht w/o rails w/m | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Durable Medical Equipment (DME) cost in New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Durable Medical Equipment (DME) in New York, NY is $14.25 per claim, based on 60,732 claims from 11 providers. Typical payments fall between $23.43 and $52.57. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Durable Medical Equipment (DME) in New York, NY?
There are 11 Medicaid providers offering Durable Medical Equipment (DME) related services in New York, NY according to public payment data.
What is the price range for Durable Medical Equipment (DME) in New York, NY?
Medicaid reimbursement for Durable Medical Equipment (DME) in New York, NY ranges from $0.00 to $56.24 per claim, with an average of $14.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Durable Medical Equipment (DME) in Other Cities
Phoenix, AZ
Avg $22.71
1,009,219 claims · 16 providers
Indianapolis, IN
Avg $54.50
970,590 claims · 15 providers
City Of Industry, CA
Avg $54.22
938,819 claims · 1 providers
Bronx, NY
Avg $32.15
781,876 claims · 11 providers
Albuquerque, NM
Avg $52.38
763,105 claims · 16 providers
Glendale, CA
Avg $32.28
750,080 claims · 9 providers
Colorado Springs, CO
Avg $41.85
705,123 claims · 18 providers
Denver, CO
Avg $47.17
645,281 claims · 11 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims