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#561 of 11K

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)

p10
$14.30
p25
$22.37
Median
$44.06
p75
$73.49
p90
$105.99
p95
$124.06
p99
$190.18

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

#ProviderTotal Paid
1New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$3.6M
2Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$2.9M
3United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$2.1M
41972004489$2.0M
5Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1.8M
61790736551$1.5M
7Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.3M
8Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.2M
91477523413$1.1M
10Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$866K
111689009854$844K
12Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$797K
13University Of Kentucky

Lexington, KY · General Acute Care Hospital

$790K
141689979569$776K
15Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$748K
161366689697$745K
17Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$716K
181629327887$716K
19Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$676K
201497148456$658K

Showing top 20 of 4K providers billing this code

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