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#4994 of 11K

A6536

HCPCS Procedure Code

HCPCS code A6536 is the #4,994 most-billed Medicaid procedure code, with $326K in payments across 4K claims from 2018–2024. The national median cost per claim is $87.56.

Total Paid

$326K

0.00% of all spending

Total Claims

4K

Providers

7

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for A6536? Based on 7 providers billing this code nationally.

Median

$87.56

Average

$80.34

Std Dev

$30.47

Max

$120.46

Percentile Distribution (Cost per Claim)

p10
$43.09
p25
$56.58
Median
$87.56
p75
$100.98
p90
$109.17
p95
$114.82
p99
$119.33

50% of providers bill between $56.58 and $100.98 per claim for this code.

90% bill between $43.09 and $109.17.

Top 1% bill above $119.33.

About This Procedure

HCPCS code A6536 was billed by 7 providers across 4K claims, totaling $326K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$87.56

Providers Billing

7

National Spending

$326K

Avg/Median Ratio

0.92×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6536

#ProviderTotal Paid
11851600647$151K
21972550028$101K
31518007913$34K
41609892868$29K
51144358839$5K
61164472411$3K
71588947246$3K

Showing top 7 of 7 providers billing this code