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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology | $28.3M |
| 2 | 1073929121 | $6.4M |
| 3 | 1962745398 | $4.0M |
| 4 | 1619398542 | $3.5M |
| 5 | 1558356741 | $2.9M |
| 6 | 1235593260 | $2.3M |
| 7 | 1184766107 | $2.2M |
| 8 | 1891895637 | $2.0M |
| 9 | 1710312699 | $2.0M |
| 10 | 1164773560 | $1.9M |
| 11 | 1205332905 | $1.7M |
| 12 | 1285156067 | $1.7M |
| 13 | 1962868687 | $1.6M |
| 14 | 1720565922 | $1.6M |
| 15 | Advanced Minimally Invasive Surgical Phoenix, AZ · Surgery | $1.5M |
| 16 | 1265764716 | $1.4M |
| 17 | 1326368630 | $1.4M |
| 18 | 1275168320 | $1.3M |
| 19 | 1033631064 | $1.1M |
| 20 | 1730547522 | $1.1M |
Showing top 20 of 126 providers billing this code