99236
Observation care same day admit and discharge
Observation care same day admit and discharge is the #1,394 most-billed Medicaid procedure code, with $24.7M in payments across 173K claims from 2018–2024. The national median cost per claim is $128.23.
Total Paid
$24.7M
0.00% of all spending
Total Claims
173K
Providers
486
Avg Cost/Claim
$143
National Cost Distribution
How much do providers bill per claim for 99236? Based on 477 providers billing this code nationally.
Median
$128.23
Average
$132.99
Std Dev
$112.81
Max
$2,310.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $100.36 and $158.35 per claim for this code.
90% bill between $64.36 and $188.73.
Top 1% bill above $277.27.
About This Procedure
HCPCS code 99236 (Observation care same day admit and discharge) was billed by 486 providers across 173K claims, totaling $24.7M in Medicaid payments from 2018–2024. This code was used for 157K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.23
Providers Billing
477
National Spending
$24.7M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99236
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760095806 | $2.7M |
| 2 | Rwjbh Emergency Medicine Associates, Llc Somerset, NJ · Nurse Practitioner, Primary Care | $1.7M |
| 3 | 1861432130 | $1.0M |
| 4 | 1073854766 | $877K |
| 5 | 1497920524 | $774K |
| 6 | 1124058508 | $673K |
| 7 | 1447231865 | $480K |
| 8 | 1811920549 | $462K |
| 9 | 1801352505 | $444K |
| 10 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $430K |
| 11 | 1275568479 | $319K |
| 12 | 1619479870 | $313K |
| 13 | 1780791343 | $306K |
| 14 | 1538104476 | $293K |
| 15 | 1972758134 | $268K |
| 16 | 1700999471 | $261K |
| 17 | 1154355931 | $261K |
| 18 | 1033136841 | $258K |
| 19 | 1346586658 | $252K |
| 20 | 1194084111 | $245K |
Showing top 20 of 486 providers billing this code