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#625 of 11K

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)

p10
$329.41
p25
$617.55
Median
$902.80
p75
$1,269.80
p90
$1,708.33
p95
$2,056.37
p99
$2,833.42

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

#ProviderTotal Paid
11962828277$8.3M
21508877473$7.6M
31326158395$6.8M
41457685398$5.8M
51700331196$4.3M
61710312699$4.1M
71154356087$4.0M
81972790863$4.0M
91821277302$3.4M
101285893107$3.4M
111508912452$3.2M
121760626477$2.7M
131770823551$2.7M
141073003190$2.6M
151144331224$2.5M
161194918789$2.3M
171306282926$1.9M
181295053502$1.8M
191275994766$1.6M
201326246828$1.6M

Showing top 20 of 207 providers billing this code