76536
HCPCS Procedure Code
HCPCS code 76536 is the #561 most-billed Medicaid procedure code, with $147.4M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $44.06. Costs vary widely — the 90th percentile is $105.99 per claim, 2.4× the median.
Total Paid
$147.4M
0.01% of all spending
Total Claims
2.5M
Providers
4K
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for 76536? Based on 4K providers billing this code nationally.
Median
$44.06
Average
$53.30
Std Dev
$41.99
Max
$586.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.37 and $73.49 per claim for this code.
90% bill between $14.30 and $105.99.
Top 1% bill above $190.18.
About This Procedure
HCPCS code 76536 was billed by 4K providers across 2.5M claims, totaling $147.4M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.06
Providers Billing
4K
National Spending
$147.4M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76536
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $3.6M |
| 2 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $2.9M |
| 3 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $2.1M |
| 4 | 1972004489 | $2.0M |
| 5 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $1.8M |
| 6 | 1790736551 | $1.5M |
| 7 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.3M |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.2M |
| 9 | 1477523413 | $1.1M |
| 10 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $866K |
| 11 | 1689009854 | $844K |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $797K |
| 13 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $790K |
| 14 | 1689979569 | $776K |
| 15 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $748K |
| 16 | 1366689697 | $745K |
| 17 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $716K |
| 18 | 1629327887 | $716K |
| 19 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $676K |
| 20 | 1497148456 | $658K |
Showing top 20 of 4K providers billing this code