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#8856 of 11K

G8536

HCPCS Procedure Code

HCPCS code G8536 is the #8,856 most-billed Medicaid procedure code, with $960 in payments across 43K claims from 2018–2024. The national median cost per claim is $0.35. Costs vary widely — the 90th percentile is $0.89 per claim, 2.5× the median.

Total Paid

$960

0.00% of all spending

Total Claims

43K

Providers

133

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G8536? Based on 3 providers billing this code nationally.

Median

$0.35

Average

$0.55

Std Dev

$0.40

Max

$1.02

Percentile Distribution (Cost per Claim)

p10
$0.30
p25
$0.32
Median
$0.35
p75
$0.68
p90
$0.89
p95
$0.95
p99
$1.01

50% of providers bill between $0.32 and $0.68 per claim for this code.

90% bill between $0.30 and $0.89.

Top 1% bill above $1.01.

About This Procedure

HCPCS code G8536 was billed by 133 providers across 43K claims, totaling $960 in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.35

Providers Billing

3

National Spending

$960

Avg/Median Ratio

1.57×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G8536

#ProviderTotal Paid
11588689483$381
21376894931$341
31235593567$238
41720259187$0
51376992636$0
61316371651$0
71780080218$0
81114931094$0
91053365817$0
101134359920$0
111114200771$0
121427709443$0
131174562649$0
141699027862$0
151669863940$0
161710238381$0
171982927992$0
181396703237$0
191912292335$0
201013293604$0

Showing top 20 of 133 providers billing this code