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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003969114 | $145K |
| 2 | 1043211857 | $87K |
| 3 | 1336230689 | $42K |
| 4 | Act Home Health Inc. Garden Grove, CA · Home Health | $31K |
| 5 | Nova Skilled Home Health Inc. Los Angeles, CA · Home Health | $31K |
| 6 | 1154387926 | $24K |
| 7 | 1649286030 | $24K |
| 8 | 1801948336 | $20K |
| 9 | 1295159366 | $19K |
| 10 | 1164746038 | $19K |
| 11 | 1326292897 | $17K |
| 12 | 1851344717 | $14K |
| 13 | 1942644596 | $12K |
| 14 | 1700969078 | $12K |
| 15 | 1437385010 | $11K |
| 16 | 1992799928 | $9K |
| 17 | 1356396410 | $9K |
| 18 | 1902035876 | $8K |
| 19 | 1669600284 | $5K |
| 20 | 1841232188 | $4K |
Showing top 20 of 28 providers billing this code