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#4486 of 11K

Z5836

HCPCS Procedure Code

HCPCS code Z5836 is the #4,486 most-billed Medicaid procedure code, with $557K in payments across 5,306 claims from 2018–2024. The national median cost per claim is $99.29.

Total Paid

$557K

0.00% of all spending

Total Claims

5,306

Providers

28

Avg Cost/Claim

$105

National Cost Distribution

How much do providers bill per claim for Z5836? Based on 28 providers billing this code nationally.

Median

$99.29

Average

$97.82

Std Dev

$28.61

Max

$136.30

Percentile Distribution (Cost per Claim)

p10
$64.75
p25
$68.94
Median
$99.29
p75
$125.89
p90
$135.39
p95
$136.17
p99
$136.29

50% of providers bill between $68.94 and $125.89 per claim for this code.

90% bill between $64.75 and $135.39.

Top 1% bill above $136.29.

About This Procedure

HCPCS code Z5836 was billed by 28 providers across 5,306 claims, totaling $557K in Medicaid payments from 2018–2024. This code was used for 3,483 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.29

Providers Billing

28

National Spending

$557K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5836

#ProviderTotal Paid
11003969114$145K
21043211857$87K
31336230689$42K
4Act Home Health Inc.

Garden Grove, CA · Home Health

$31K
5Nova Skilled Home Health Inc.

Los Angeles, CA · Home Health

$31K
61154387926$24K
71649286030$24K
81801948336$20K
91295159366$19K
101164746038$19K
111326292897$17K
121851344717$14K
131942644596$12K
141700969078$12K
151437385010$11K
161992799928$9K
171356396410$9K
181902035876$8K
191669600284$5K
201841232188$4K

Showing top 20 of 28 providers billing this code