#3119 of 11K

36620

HCPCS Procedure Code

HCPCS code 36620 is the #3,119 most-billed Medicaid procedure code, with $2.4M in payments across 89K claims from 2018–2024. The national median cost per claim is $23.48.

Total Paid

$2.4M

0.00% of all spending

Total Claims

89K

Providers

215

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 36620? Based on 212 providers billing this code nationally.

Median

$23.48

Average

$25.89

Std Dev

$15.43

Max

$95.25

Percentile Distribution (Cost per Claim)

p10

$6.92

p25

$18.38

Median

$23.48

p75

$32.26

p90

$45.58

p95

$51.68

p99

$82.83

50% of providers bill between $18.38 and $32.26 per claim for this code.

90% bill between $6.92 and $45.58.

Top 1% bill above $82.83.

About This Procedure

HCPCS code 36620 was billed by 215 providers across 89K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.48

Providers Billing

212

National Spending

$2.4M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36620

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$182K	$64.84	2.8× median	Top 10%
2	1558314427	$169K	$59.28	2.5× median	Top 10%
3	1093767766	$136K	$24.18	1.0× median	Above Median
4	1487602546	$110K	$51.27	2.2× median	Top 10%
5	1225016926	$109K	$22.94	1.0× median	Below Median
6	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$108K	$40.17	1.7× median	Above 75th
7	1528578333	$92K	$37.45	1.6× median	Above 75th
8	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$88K	$21.88	0.9× median	Below Median
9	1710324041	$81K	$41.48	1.8× median	Above 75th
10	1871986372	$71K	$23.51	1.0× median	Above Median
11	Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital	$64K	$27.58	1.2× median	Above Median
12	1003989690	$63K	$24.77	1.1× median	Above Median
13	1922074434	$62K	$23.09	1.0× median	Below Median
14	1346267267	$60K	$28.86	1.2× median	Above Median
15	1952392946	$49K	$44.15	1.9× median	Above 75th
16	1902846306	$42K	$17.96	0.8× median	Below Median
17	1497797153	$42K	$21.43	0.9× median	Below Median
18	1669581997	$42K	$23.73	1.0× median	Above Median
19	1972126209	$40K	$24.11	1.0× median	Above Median
20	1407821796	$40K	$24.49	1.0× median	Above Median

Showing top 20 of 215 providers billing this code

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