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#1809 of 11K

92136

HCPCS Procedure Code

HCPCS code 92136 is the #1,809 most-billed Medicaid procedure code, with $13.5M in payments across 671K claims from 2018–2024. The national median cost per claim is $18.31. Costs vary widely — the 90th percentile is $38.77 per claim, 2.1× the median.

Total Paid

$13.5M

0.00% of all spending

Total Claims

671K

Providers

1,248

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 92136? Based on 1,230 providers billing this code nationally.

Median

$18.31

Average

$20.90

Std Dev

$14.20

Max

$104.56

Percentile Distribution (Cost per Claim)

p10
$6.08
p25
$11.00
Median
$18.31
p75
$26.77
p90
$38.77
p95
$48.20
p99
$68.67

50% of providers bill between $11.00 and $26.77 per claim for this code.

90% bill between $6.08 and $38.77.

Top 1% bill above $68.67.

About This Procedure

HCPCS code 92136 was billed by 1,248 providers across 671K claims, totaling $13.5M in Medicaid payments from 2018–2024. This code was used for 528K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.31

Providers Billing

1,230

National Spending

$13.5M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92136

#ProviderTotal Paid
11760541569$436K
21104868520$345K
31114033404$324K
41134330640$178K
51962422709$164K
61376574707$162K
71023063187$157K
81063587038$134K
91477610558$132K
101487704581$123K
111376593863$123K
121245251222$120K
131073970687$117K
141154543916$114K
151508839879$113K
161932211786$111K
171699078030$106K
181326062084$104K
19The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$102K
201538120985$95K

Showing top 20 of 1,248 providers billing this code