36406
HCPCS Procedure Code
HCPCS code 36406 is the #3,894 most-billed Medicaid procedure code, with $1.0M in payments across 111K claims from 2018–2024. The national median cost per claim is $8.67.
Total Paid
$1.0M
0.00% of all spending
Total Claims
111K
Providers
173
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 36406? Based on 159 providers billing this code nationally.
Median
$8.67
Average
$9.20
Std Dev
$5.96
Max
$32.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.19 and $13.06 per claim for this code.
90% bill between $1.98 and $16.72.
Top 1% bill above $24.81.
About This Procedure
HCPCS code 36406 was billed by 173 providers across 111K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 86K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.67
Providers Billing
159
National Spending
$1.0M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36406
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144405762 | $199K |
| 2 | 1922164565 | $107K |
| 3 | 1235297847 | $73K |
| 4 | 1447508064 | $48K |
| 5 | 1184048449 | $46K |
| 6 | 1003902610 | $29K |
| 7 | 1801857172 | $23K |
| 8 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $22K |
| 9 | 1568816726 | $20K |
| 10 | 1710024955 | $19K |
| 11 | 1023431871 | $18K |
| 12 | 1447361324 | $16K |
| 13 | 1912133356 | $16K |
| 14 | 1548522592 | $16K |
| 15 | 1831379841 | $16K |
| 16 | 1841361268 | $14K |
| 17 | 1801956818 | $14K |
| 18 | 1861503450 | $14K |
| 19 | 1326225582 | $13K |
| 20 | 1649462995 | $12K |
Showing top 20 of 173 providers billing this code