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#5758 of 11K

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)

p10
$11.86
p25
$20.73
Median
$61.58
p75
$115.21
p90
$177.65
p95
$279.57
p99
$361.10

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

#ProviderTotal Paid
1Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$121K
21326091448$7K
3Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$7K
41932264439$3K
51578513016$2K
6Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$2K
71639376585$994
81679825483$925
91760007330$101
101699761379$0
111578545273$0
121336130863$0
13William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$0
141487155354$0
151669450961$0
161184708406$0
171356680912$0
181366433369$0
191194958223$0
201942402391$0

Showing top 20 of 25 providers billing this code