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#1327 of 11K

96136

Psychological/neuropsychological testing, first 30 min

Psychological/neuropsychological testing, first 30 min is the #1,327 most-billed Medicaid procedure code, with $27.4M in payments across 827K claims from 2018–2024. The national median cost per claim is $30.49.

Total Paid

$27.4M

0.00% of all spending

Total Claims

827K

Providers

2K

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 96136? Based on 1K providers billing this code nationally.

Median

$30.49

Average

$35.63

Std Dev

$40.91

Max

$718.59

Percentile Distribution (Cost per Claim)

p10
$7.70
p25
$20.50
Median
$30.49
p75
$40.45
p90
$54.69
p95
$77.07
p99
$195.70

50% of providers bill between $20.50 and $40.45 per claim for this code.

90% bill between $7.70 and $54.69.

Top 1% bill above $195.70.

About This Procedure

HCPCS code 96136 (Psychological/neuropsychological testing, first 30 min) was billed by 2K providers across 827K claims, totaling $27.4M in Medicaid payments from 2018–2024. This code was used for 702K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.49

Providers Billing

1K

National Spending

$27.4M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96136

#ProviderTotal Paid
11922440684$1.1M
21861528390$1.0M
3Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$992K
41982074969$736K
51942377379$583K
61396807350$573K
71932533361$367K
81497747356$366K
9Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$341K
101487916433$306K
111861907255$271K
12Nystrom & Associates, Ltd

New Brighton, MN · Marriage & Family Therapist

$250K
131104179340$225K
14Cleveland Clinic Children's Hospital For Rehabilitation

Cleveland, OH · Rehabilitation Hospital Children

$224K
151881087369$216K
16Collaborative Autism Management Programs Inc.

Ontario, CA · Behavior Analyst

$215K
171023229416$196K
181710162888$195K
19Fraser Child And Family Center

Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center)

$176K
20Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$163K

Showing top 20 of 2K providers billing this code