36470
HCPCS Procedure Code
HCPCS code 36470 is the #3,962 most-billed Medicaid procedure code, with $977K in payments across 12K claims from 2018–2024. The national median cost per claim is $77.35.
Total Paid
$977K
0.00% of all spending
Total Claims
12K
Providers
35
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for 36470? Based on 35 providers billing this code nationally.
Median
$77.35
Average
$84.73
Std Dev
$42.05
Max
$193.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.53 and $120.16 per claim for this code.
90% bill between $27.43 and $131.78.
Top 1% bill above $173.54.
About This Procedure
HCPCS code 36470 was billed by 35 providers across 12K claims, totaling $977K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$77.35
Providers Billing
35
National Spending
$977K
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36470
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295842532 | $212K |
| 2 | 1578949889 | $118K |
| 3 | 1700331196 | $64K |
| 4 | 1154356087 | $56K |
| 5 | 1962828277 | $50K |
| 6 | 1174159982 | $44K |
| 7 | 1508805805 | $41K |
| 8 | 1962868687 | $39K |
| 9 | 1205332905 | $39K |
| 10 | 1275168320 | $35K |
| 11 | 1891895637 | $34K |
| 12 | 1205829181 | $33K |
| 13 | 1417340134 | $31K |
| 14 | 1730439704 | $25K |
| 15 | 1881848687 | $24K |
| 16 | 1033631064 | $22K |
| 17 | 1285156067 | $20K |
| 18 | 1730547522 | $16K |
| 19 | 1720565922 | $13K |
| 20 | 1710312699 | $11K |
Showing top 20 of 35 providers billing this code