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#5272 of 11K

Z5936

HCPCS Procedure Code

HCPCS code Z5936 is the #5,272 most-billed Medicaid procedure code, with $244K in payments across 4K claims from 2018–2024. The national median cost per claim is $57.03.

Total Paid

$244K

0.00% of all spending

Total Claims

4K

Providers

9

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for Z5936? Based on 9 providers billing this code nationally.

Median

$57.03

Average

$63.89

Std Dev

$13.19

Max

$84.40

Percentile Distribution (Cost per Claim)

p10
$52.88
p25
$54.31
Median
$57.03
p75
$74.23
p90
$84.02
p95
$84.21
p99
$84.36

50% of providers bill between $54.31 and $74.23 per claim for this code.

90% bill between $52.88 and $84.02.

Top 1% bill above $84.36.

About This Procedure

HCPCS code Z5936 was billed by 9 providers across 4K claims, totaling $244K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.03

Providers Billing

9

National Spending

$244K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5936

#ProviderTotal Paid
11386162949$68K
21598854846$49K
31710065933$42K
41275583205$34K
51134218332$20K
61760491021$13K
71366489197$13K
8Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$4K
91952777245$1K

Showing top 9 of 9 providers billing this code