64636
HCPCS Procedure Code
HCPCS code 64636 is the #1,189 most-billed Medicaid procedure code, with $34.4M in payments across 315K claims from 2018–2024. The national median cost per claim is $63.60. Costs vary widely — the 90th percentile is $236.91 per claim, 3.7× the median.
Total Paid
$34.4M
0.00% of all spending
Total Claims
315K
Providers
633
Avg Cost/Claim
$109
National Cost Distribution
How much do providers bill per claim for 64636? Based on 560 providers billing this code nationally.
Median
$63.60
Average
$110.25
Std Dev
$150.42
Max
$1,610.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.02 and $129.66 per claim for this code.
90% bill between $8.90 and $236.91.
Top 1% bill above $729.73.
About This Procedure
HCPCS code 64636 was billed by 633 providers across 315K claims, totaling $34.4M in Medicaid payments from 2018–2024. This code was used for 213K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$63.60
Providers Billing
560
National Spending
$34.4M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64636
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841619731 | $2.2M |
| 2 | 1619219433 | $1.5M |
| 3 | 1427009026 | $1.5M |
| 4 | 1871650739 | $1.4M |
| 5 | 1306280177 | $1.1M |
| 6 | 1639418858 | $1.1M |
| 7 | 1891000550 | $1.0M |
| 8 | 1225450588 | $874K |
| 9 | 1740228469 | $822K |
| 10 | 1518998764 | $805K |
| 11 | 1457851578 | $695K |
| 12 | 1376733824 | $633K |
| 13 | 1881986743 | $629K |
| 14 | 1427230788 | $618K |
| 15 | 1477781425 | $441K |
| 16 | 1740535368 | $399K |
| 17 | 1548557317 | $394K |
| 18 | 1902231178 | $387K |
| 19 | 1821282666 | $342K |
| 20 | 1659890218 | $323K |
Showing top 20 of 633 providers billing this code