#5658 of 11K

36140

HCPCS Procedure Code

HCPCS code 36140 is the #5,658 most-billed Medicaid procedure code, with $159K in payments across 2,271 claims from 2018–2024. The national median cost per claim is $55.19. Costs vary widely — the 90th percentile is $140.16 per claim, 2.5× the median.

Total Paid

$159K

0.00% of all spending

Total Claims

2,271

Providers

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for 36140? Based on 22 providers billing this code nationally.

Median

$55.19

Average

$69.15

Std Dev

$67.03

Max

$272.59

Percentile Distribution (Cost per Claim)

p10

$7.58

p25

$19.50

Median

$55.19

p75

$99.45

p90

$140.16

p95

$182.80

p99

$254.18

50% of providers bill between $19.50 and $99.45 per claim for this code.

90% bill between $7.58 and $140.16.

Top 1% bill above $254.18.

About This Procedure

HCPCS code 36140 was billed by 24 providers across 2,271 claims, totaling $159K in Medicaid payments from 2018–2024. This code was used for 2,052 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.19

Providers Billing

National Spending

$159K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36140

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1154401941	$47K	$64.98	1.2× median	Above Median
2	1194020610	$22K	$100.64	1.8× median	Above 75th
3	1003298340	$20K	$69.68	1.3× median	Above Median
4	1811939465	$20K	$184.92	3.4× median	Top 10%
5	1083680003	$12K	$118.43	2.1× median	Above 75th
6	Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology	$11K	$52.94	1.0× median	Below Median
7	1063947638	$7K	$272.59	4.9× median	Top 1%
8	1821415142	$6K	$110.96	2.0× median	Above 75th
9	1275864928	$4K	$57.43	1.0× median	Above Median
10	1346456324	$3K	$95.87	1.7× median	Above Median
11	1386795771	$2K	$142.58	2.6× median	Top 10%
12	1538301064	$1K	$8.76	0.2× median	Below Median
13	1982029732	$821	$11.56	0.2× median	Below Median
14	1598792632	$811	$40.55	0.7× median	Below Median
15	1437173804	$810	$62.30	1.1× median	Above Median
16	1326487513	$775	$51.69	0.9× median	Below Median
17	1811049869	$481	$18.50	0.3× median	Below Median
18	1366449365	$401	$23.57	0.4× median	Below Median
19	1912122631	$292	$22.50	0.4× median	Below Median
20	1679505085	$149	$7.45	0.1× median	Below Median

Showing top 20 of 24 providers billing this code

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