20936
HCPCS Procedure Code
HCPCS code 20936 is the #5,758 most-billed Medicaid procedure code, with $144K in payments across 1,878 claims from 2018–2024. The national median cost per claim is $61.58. Costs vary widely — the 90th percentile is $177.65 per claim, 2.9× the median.
Total Paid
$144K
0.00% of all spending
Total Claims
1,878
Providers
25
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for 20936? Based on 9 providers billing this code nationally.
Median
$61.58
Average
$93.97
Std Dev
$115.90
Max
$381.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.73 and $115.21 per claim for this code.
90% bill between $11.86 and $177.65.
Top 1% bill above $361.10.
About This Procedure
HCPCS code 20936 was billed by 25 providers across 1,878 claims, totaling $144K in Medicaid payments from 2018–2024. This code was used for 1,342 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$61.58
Providers Billing
9
National Spending
$144K
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 20936
| # | Provider | Total Paid |
|---|---|---|
| 1 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $121K |
| 2 | 1326091448 | $7K |
| 3 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $7K |
| 4 | 1932264439 | $3K |
| 5 | 1578513016 | $2K |
| 6 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $2K |
| 7 | 1639376585 | $994 |
| 8 | 1679825483 | $925 |
| 9 | 1760007330 | $101 |
| 10 | 1699761379 | $0 |
| 11 | 1578545273 | $0 |
| 12 | 1336130863 | $0 |
| 13 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $0 |
| 14 | 1487155354 | $0 |
| 15 | 1669450961 | $0 |
| 16 | 1184708406 | $0 |
| 17 | 1356680912 | $0 |
| 18 | 1366433369 | $0 |
| 19 | 1194958223 | $0 |
| 20 | 1942402391 | $0 |
Showing top 20 of 25 providers billing this code