36830
HCPCS Procedure Code
HCPCS code 36830 is the #5,006 most-billed Medicaid procedure code, with $322K in payments across 804 claims from 2018–2024. The national median cost per claim is $349.22. Costs vary widely — the 90th percentile is $787.26 per claim, 2.3× the median.
Total Paid
$322K
0.00% of all spending
Total Claims
804
Providers
12
Avg Cost/Claim
$401
National Cost Distribution
How much do providers bill per claim for 36830? Based on 9 providers billing this code nationally.
Median
$349.22
Average
$412.77
Std Dev
$335.46
Max
$1,000.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $93.71 and $707.30 per claim for this code.
90% bill between $80.34 and $787.26.
Top 1% bill above $979.00.
About This Procedure
HCPCS code 36830 was billed by 12 providers across 804 claims, totaling $322K in Medicaid payments from 2018–2024. This code was used for 740 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$349.22
Providers Billing
9
National Spending
$322K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36830
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346469731 | $202K |
| 2 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $40K |
| 3 | 1710909585 | $33K |
| 4 | 1649226515 | $19K |
| 5 | 1316902208 | $12K |
| 6 | 1639295009 | $8K |
| 7 | 1033163092 | $4K |
| 8 | 1003889676 | $3K |
| 9 | 1902852833 | $2K |
| 10 | 1770280299 | $0 |
| 11 | 1699756221 | $0 |
| 12 | 1457309247 | $0 |
Showing top 12 of 12 providers billing this code