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#5180 of 11K

36476

HCPCS Procedure Code

HCPCS code 36476 is the #5,180 most-billed Medicaid procedure code, with $269K in payments across 1K claims from 2018–2024. The national median cost per claim is $199.25.

Total Paid

$269K

0.00% of all spending

Total Claims

1K

Providers

8

Avg Cost/Claim

$199

National Cost Distribution

How much do providers bill per claim for 36476? Based on 8 providers billing this code nationally.

Median

$199.25

Average

$201.06

Std Dev

$83.58

Max

$314.31

Percentile Distribution (Cost per Claim)

p10
$104.05
p25
$173.98
Median
$199.25
p75
$250.62
p90
$295.10
p95
$304.71
p99
$312.39

50% of providers bill between $173.98 and $250.62 per claim for this code.

90% bill between $104.05 and $295.10.

Top 1% bill above $312.39.

About This Procedure

HCPCS code 36476 was billed by 8 providers across 1K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 974 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$199.25

Providers Billing

8

National Spending

$269K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36476

#ProviderTotal Paid
11235411349$165K
21962828277$31K
31154356087$31K
41700331196$21K
51770823551$11K
61265746978$5K
71578949889$3K
81083987630$767

Showing top 8 of 8 providers billing this code