36473
HCPCS Procedure Code
HCPCS code 36473 is the #3,509 most-billed Medicaid procedure code, with $1.6M in payments across 3K claims from 2018–2024. The national median cost per claim is $694.42.
Total Paid
$1.6M
0.00% of all spending
Total Claims
3K
Providers
16
Avg Cost/Claim
$494
National Cost Distribution
How much do providers bill per claim for 36473? Based on 14 providers billing this code nationally.
Median
$694.42
Average
$753.36
Std Dev
$450.20
Max
$1,549.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $375.42 and $1,035.82 per claim for this code.
90% bill between $266.97 and $1,358.18.
Top 1% bill above $1,529.94.
About This Procedure
HCPCS code 36473 was billed by 16 providers across 3K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$694.42
Providers Billing
14
National Spending
$1.6M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36473
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346433059 | $755K |
| 2 | 1295706901 | $281K |
| 3 | 1912435173 | $189K |
| 4 | 1003402884 | $85K |
| 5 | 1891028239 | $82K |
| 6 | 1508877473 | $64K |
| 7 | 1124450572 | $49K |
| 8 | 1508837287 | $25K |
| 9 | 1598055923 | $15K |
| 10 | 1528307006 | $13K |
| 11 | 1609076629 | $11K |
| 12 | 1316101298 | $10K |
| 13 | 1558356741 | $8K |
| 14 | 1205947132 | $7K |
| 15 | 1760825871 | $0 |
| 16 | 1346286663 | $0 |
Showing top 16 of 16 providers billing this code