90636
HCPCS Procedure Code
HCPCS code 90636 is the #3,424 most-billed Medicaid procedure code, with $1.7M in payments across 28K claims from 2018–2024. The national median cost per claim is $72.28.
Total Paid
$1.7M
0.00% of all spending
Total Claims
28K
Providers
132
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 90636? Based on 104 providers billing this code nationally.
Median
$72.28
Average
$68.51
Std Dev
$48.55
Max
$263.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.60 and $96.37 per claim for this code.
90% bill between $6.01 and $111.85.
Top 1% bill above $231.84.
About This Procedure
HCPCS code 90636 was billed by 132 providers across 28K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.28
Providers Billing
104
National Spending
$1.7M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 90636
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1538264080 | $212K |
| 2 | 1700036837 | $188K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $132K |
| 4 | 1497915185 | $121K |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $113K |
| 6 | 1063450757 | $100K |
| 7 | 1194855155 | $99K |
| 8 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $88K |
| 9 | 1609881077 | $74K |
| 10 | Summa Health System Akron, OH · General Acute Care Hospital | $60K |
| 11 | 1275550212 | $58K |
| 12 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $37K |
| 13 | Lynn Community Health, Inc. Lynn, MA · Clinic/Center, Community Health | $36K |
| 14 | 1366651598 | $28K |
| 15 | Sage River Counseling Seattle, WA · Counselor Mental Health | $26K |
| 16 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $26K |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $24K |
| 18 | Alameda Health System Oakland, CA · General Acute Care Hospital | $21K |
| 19 | 1376875229 | $18K |
| 20 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $16K |
Showing top 20 of 132 providers billing this code