36475
HCPCS Procedure Code
HCPCS code 36475 is the #625 most-billed Medicaid procedure code, with $122.4M in payments across 117K claims from 2018–2024. The national median cost per claim is $902.80.
Total Paid
$122.4M
0.01% of all spending
Total Claims
117K
Providers
207
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 36475? Based on 206 providers billing this code nationally.
Median
$902.80
Average
$989.82
Std Dev
$587.79
Max
$3,489.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $617.55 and $1,269.80 per claim for this code.
90% bill between $329.41 and $1,708.33.
Top 1% bill above $2,833.42.
About This Procedure
HCPCS code 36475 was billed by 207 providers across 117K claims, totaling $122.4M in Medicaid payments from 2018–2024. This code was used for 81K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$902.80
Providers Billing
206
National Spending
$122.4M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36475
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962828277 | $8.3M |
| 2 | 1508877473 | $7.6M |
| 3 | 1326158395 | $6.8M |
| 4 | 1457685398 | $5.8M |
| 5 | 1700331196 | $4.3M |
| 6 | 1710312699 | $4.1M |
| 7 | 1154356087 | $4.0M |
| 8 | 1972790863 | $4.0M |
| 9 | 1821277302 | $3.4M |
| 10 | 1285893107 | $3.4M |
| 11 | 1508912452 | $3.2M |
| 12 | 1760626477 | $2.7M |
| 13 | 1770823551 | $2.7M |
| 14 | 1073003190 | $2.6M |
| 15 | 1144331224 | $2.5M |
| 16 | 1194918789 | $2.3M |
| 17 | 1306282926 | $1.9M |
| 18 | 1295053502 | $1.8M |
| 19 | 1275994766 | $1.6M |
| 20 | 1326246828 | $1.6M |
Showing top 20 of 207 providers billing this code