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#6164 of 11K

51736

HCPCS Procedure Code

HCPCS code 51736 is the #6,164 most-billed Medicaid procedure code, with $89K in payments across 1,865 claims from 2018–2024. The national median cost per claim is $12.11. Costs vary widely — the 90th percentile is $25.03 per claim, 2.1× the median.

Total Paid

$89K

0.00% of all spending

Total Claims

1,865

Providers

19

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for 51736? Based on 16 providers billing this code nationally.

Median

$12.11

Average

$16.16

Std Dev

$20.66

Max

$89.03

Percentile Distribution (Cost per Claim)

p10
$4.04
p25
$5.65
Median
$12.11
p75
$15.00
p90
$25.03
p95
$42.52
p99
$79.73

50% of providers bill between $5.65 and $15.00 per claim for this code.

90% bill between $4.04 and $25.03.

Top 1% bill above $79.73.

About This Procedure

HCPCS code 51736 was billed by 19 providers across 1,865 claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 1,713 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.11

Providers Billing

16

National Spending

$89K

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51736

#ProviderTotal Paid
11336245828$79K
21053544528$2K
31598755605$2K
4Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$1K
51366455719$1K
6Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$1K
71417907940$702
81124588793$395
91427379189$350
101558889956$252
111033163597$223
12State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$170
131992994214$167
141780042093$127
15University Of California Irvine

Orange, CA · General Acute Care Hospital

$63
161285845982$42
171699986331$0
181407171200$0
19Oregon Health & Science University

Portland, OR · General Practice

$0

Showing top 19 of 19 providers billing this code