36907
HCPCS Procedure Code
HCPCS code 36907 is the #2,685 most-billed Medicaid procedure code, with $4.2M in payments across 35K claims from 2018–2024. The national median cost per claim is $86.23. Costs vary widely — the 90th percentile is $225.68 per claim, 2.6× the median.
Total Paid
$4.2M
0.00% of all spending
Total Claims
35K
Providers
121
Avg Cost/Claim
$117
National Cost Distribution
How much do providers bill per claim for 36907? Based on 116 providers billing this code nationally.
Median
$86.23
Average
$101.13
Std Dev
$86.68
Max
$405.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.52 and $132.48 per claim for this code.
90% bill between $11.88 and $225.68.
Top 1% bill above $391.29.
About This Procedure
HCPCS code 36907 was billed by 121 providers across 35K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.23
Providers Billing
116
National Spending
$4.2M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36907
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104960558 | $562K |
| 2 | 1356347439 | $487K |
| 3 | 1447200126 | $388K |
| 4 | 1942509989 | $249K |
| 5 | 1487327201 | $197K |
| 6 | 1992789721 | $143K |
| 7 | 1093900961 | $103K |
| 8 | 1629226428 | $96K |
| 9 | 1770220972 | $96K |
| 10 | 1417083783 | $83K |
| 11 | 1982893483 | $79K |
| 12 | 1669982492 | $74K |
| 13 | 1891928255 | $74K |
| 14 | 1154401941 | $70K |
| 15 | 1689835563 | $70K |
| 16 | 1710959150 | $64K |
| 17 | 1780087312 | $58K |
| 18 | 1841428539 | $57K |
| 19 | 1073772588 | $57K |
| 20 | 1346420783 | $56K |
Showing top 20 of 121 providers billing this code