#4384 of 11K

90736

HCPCS Procedure Code

HCPCS code 90736 is the #4,384 most-billed Medicaid procedure code, with $621K in payments across 7K claims from 2018–2024. The national median cost per claim is $52.37. Costs vary widely — the 90th percentile is $217.53 per claim, 4.2× the median.

Total Paid

$621K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for 90736? Based on 36 providers billing this code nationally.

Median

$52.37

Average

$86.27

Std Dev

$87.90

Max

$251.32

Percentile Distribution (Cost per Claim)

p10

$0.34

p25

$3.25

Median

$52.37

p75

$152.39

p90

$217.53

p95

$240.98

p99

$249.89

50% of providers bill between $3.25 and $152.39 per claim for this code.

90% bill between $0.34 and $217.53.

Top 1% bill above $249.89.

About This Procedure

HCPCS code 90736 was billed by 67 providers across 7K claims, totaling $621K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.37

Providers Billing

National Spending

$621K

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 90736

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$265K	$204.85	3.9× median	Above 75th
2	1972528032	$73K	$125.08	2.4× median	Above Median
3	1245234673	$61K	$215.87	4.1× median	Above 75th
4	1376949503	$56K	$247.25	4.7× median	Top 10%
5	1003985755	$48K	$238.89	4.6× median	Top 10%
6	1902177066	$34K	$135.57	2.6× median	Above Median
7	1851668800	$23K	$219.20	4.2× median	Top 10%
8	1093130015	$9K	$182.38	3.5× median	Above 75th
9	1356723605	$7K	$251.32	4.8× median	Top 1%
10	Union Community Health Center Inc. Bronx, NY · Clinic/Center	$7K	$12.51	0.2× median	Below Median
11	1316963606	$5K	$78.03	1.5× median	Above Median
12	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$4K	$128.97	2.5× median	Above Median
13	1356406136	$4K	$132.86	2.5× median	Above Median
14	Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies	$3K	$168.53	3.2× median	Above 75th
15	1669493466	$3K	$10.38	0.2× median	Below Median
16	1033178561	$2K	$96.19	1.8× median	Above Median
17	1578680310	$2K	$191.00	3.6× median	Above 75th
18	Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital	$2K	$20.35	0.4× median	Below Median
19	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$2K	$147.02	2.8× median	Above Median
20	1801929757	$2K	$12.97	0.2× median	Below Median

Showing top 20 of 67 providers billing this code

Related Procedures

90734$26.1M 90746Hepatitis B vaccine, adult$15.6M 90732Pneumococcal vaccine (PPSV23)$10.6M 90739$10.1M 90744$10.0M

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