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#731 of 11K

36478

HCPCS Procedure Code

HCPCS code 36478 is the #731 most-billed Medicaid procedure code, with $93.9M in payments across 92K claims from 2018–2024. The national median cost per claim is $864.49.

Total Paid

$93.9M

0.01% of all spending

Total Claims

92K

Providers

126

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 36478? Based on 125 providers billing this code nationally.

Median

$864.49

Average

$903.18

Std Dev

$468.39

Max

$2,357.18

Percentile Distribution (Cost per Claim)

p10
$282.92
p25
$596.18
Median
$864.49
p75
$1,204.66
p90
$1,500.57
p95
$1,620.58
p99
$2,198.25

50% of providers bill between $596.18 and $1,204.66 per claim for this code.

90% bill between $282.92 and $1,500.57.

Top 1% bill above $2,198.25.

About This Procedure

HCPCS code 36478 was billed by 126 providers across 92K claims, totaling $93.9M in Medicaid payments from 2018–2024. This code was used for 62K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$864.49

Providers Billing

125

National Spending

$93.9M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36478

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

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

$28.3M
21073929121$6.4M
31962745398$4.0M
41619398542$3.5M
51558356741$2.9M
61235593260$2.3M
71184766107$2.2M
81891895637$2.0M
91710312699$2.0M
101164773560$1.9M
111205332905$1.7M
121285156067$1.7M
131962868687$1.6M
141720565922$1.6M
15Advanced Minimally Invasive Surgical

Phoenix, AZ · Surgery

$1.5M
161265764716$1.4M
171326368630$1.4M
181275168320$1.3M
191033631064$1.1M
201730547522$1.1M

Showing top 20 of 126 providers billing this code