#1734 of 11K

01936

HCPCS Procedure Code

HCPCS code 01936 is the #1,734 most-billed Medicaid procedure code, with $15.1M in payments across 237K claims from 2018–2024. The national median cost per claim is $55.01. Costs vary widely — the 90th percentile is $131.40 per claim, 2.4× the median.

Total Paid

$15.1M

0.00% of all spending

Total Claims

237K

Providers

296

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for 01936? Based on 289 providers billing this code nationally.

Median

$55.01

Average

$66.66

Std Dev

$45.38

Max

$233.55

Percentile Distribution (Cost per Claim)

p10

$16.06

p25

$33.60

Median

$55.01

p75

$93.96

p90

$131.40

p95

$155.78

p99

$185.61

50% of providers bill between $33.60 and $93.96 per claim for this code.

90% bill between $16.06 and $131.40.

Top 1% bill above $185.61.

About This Procedure

HCPCS code 01936 was billed by 296 providers across 237K claims, totaling $15.1M in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.01

Providers Billing

289

National Spending

$15.1M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01936

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1336528926	$1.7M	$47.48	0.9× median	Below Median
2	1871650739	$787K	$105.27	1.9× median	Above 75th
3	1962760249	$717K	$50.40	0.9× median	Below Median
4	1245623834	$660K	$105.22	1.9× median	Above 75th
5	1700030939	$539K	$100.71	1.8× median	Above 75th
6	1740610039	$493K	$79.00	1.4× median	Above Median
7	1336319086	$470K	$105.17	1.9× median	Above 75th
8	1457537227	$402K	$71.56	1.3× median	Above Median
9	1508285776	$387K	$146.69	2.7× median	Top 10%
10	1619278439	$378K	$104.01	1.9× median	Above 75th
11	1063880052	$355K	$63.66	1.2× median	Above Median
12	1487019246	$338K	$32.38	0.6× median	Below Median
13	1710110499	$315K	$63.96	1.2× median	Above Median
14	1336530997	$303K	$79.03	1.4× median	Above Median
15	1235150228	$297K	$36.25	0.7× median	Below Median
16	1134570153	$286K	$38.89	0.7× median	Below Median
17	1740403658	$248K	$104.17	1.9× median	Above 75th
18	1770556037	$236K	$130.26	2.4× median	Above 75th
19	1982914370	$216K	$185.36	3.4× median	Top 10%
20	1619374048	$212K	$87.95	1.6× median	Above Median

Showing top 20 of 296 providers billing this code

Related Procedures

01938$3.2M 01940$1.1M 01935$998K 01937$423K 01930$340K

← All procedures Top providers →