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#722 of 11K

36465

HCPCS Procedure Code

HCPCS code 36465 is the #722 most-billed Medicaid procedure code, with $95.8M in payments across 100K claims from 2018–2024. The national median cost per claim is $792.14.

Total Paid

$95.8M

0.01% of all spending

Total Claims

100K

Providers

175

Avg Cost/Claim

$960

National Cost Distribution

How much do providers bill per claim for 36465? Based on 173 providers billing this code nationally.

Median

$792.14

Average

$819.55

Std Dev

$473.69

Max

$2,158.37

Percentile Distribution (Cost per Claim)

p10
$261.94
p25
$385.34
Median
$792.14
p75
$1,182.35
p90
$1,407.70
p95
$1,623.61
p99
$1,949.63

50% of providers bill between $385.34 and $1,182.35 per claim for this code.

90% bill between $261.94 and $1,407.70.

Top 1% bill above $1,949.63.

About This Procedure

HCPCS code 36465 was billed by 175 providers across 100K claims, totaling $95.8M in Medicaid payments from 2018–2024. This code was used for 71K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$792.14

Providers Billing

173

National Spending

$95.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36465

#ProviderTotal Paid
11508877473$14.9M
2Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$11.8M
31962828277$11.2M
41285156067$3.4M
51720565922$3.2M
61063679447$2.9M
71205332905$2.6M
81306282926$2.1M
91730547522$2.0M
101073003190$1.8M
111285893107$1.6M
121992951925$1.5M
131033631064$1.3M
141366418709$1.1M
151184766107$1.1M
161508837287$1.0M
171962745398$908K
181487397600$862K
191386113348$860K
201760626477$858K

Showing top 20 of 175 providers billing this code