36425
HCPCS Procedure Code
HCPCS code 36425 is the #6,054 most-billed Medicaid procedure code, with $101K in payments across 21K claims from 2018–2024. The national median cost per claim is $2.75. Costs vary widely — the 90th percentile is $15.67 per claim, 5.7× the median.
Total Paid
$101K
0.00% of all spending
Total Claims
21K
Providers
22
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 36425? Based on 14 providers billing this code nationally.
Median
$2.75
Average
$6.79
Std Dev
$9.28
Max
$33.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.87 and $8.63 per claim for this code.
90% bill between $0.47 and $15.67.
Top 1% bill above $31.40.
About This Procedure
HCPCS code 36425 was billed by 22 providers across 21K claims, totaling $101K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.75
Providers Billing
14
National Spending
$101K
Avg/Median Ratio
2.47×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36425
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1538179379 | $80K |
| 2 | 1750353603 | $7K |
| 3 | 1497776322 | $4K |
| 4 | 1427293216 | $2K |
| 5 | 1568512408 | $1K |
| 6 | 1730295189 | $1K |
| 7 | 1467614677 | $1K |
| 8 | 1104975796 | $1K |
| 9 | 1285665943 | $756 |
| 10 | 1356763155 | $656 |
| 11 | 1225084213 | $500 |
| 12 | 1366458689 | $398 |
| 13 | 1043777089 | $179 |
| 14 | 1376785626 | $68 |
| 15 | 1326171265 | $0 |
| 16 | 1760190763 | $0 |
| 17 | 1619083359 | $0 |
| 18 | 1174693998 | $0 |
| 19 | 1366591679 | $0 |
| 20 | 1962552802 | $0 |
Showing top 20 of 22 providers billing this code