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#725 of 11K

36902

HCPCS Procedure Code

HCPCS code 36902 is the #725 most-billed Medicaid procedure code, with $95.6M in payments across 349K claims from 2018–2024. The national median cost per claim is $178.61. Costs vary widely — the 90th percentile is $711.45 per claim, 4.0× the median.

Total Paid

$95.6M

0.01% of all spending

Total Claims

349K

Providers

454

Avg Cost/Claim

$274

National Cost Distribution

How much do providers bill per claim for 36902? Based on 440 providers billing this code nationally.

Median

$178.61

Average

$291.58

Std Dev

$332.15

Max

$2,785.25

Percentile Distribution (Cost per Claim)

p10
$36.50
p25
$77.51
Median
$178.61
p75
$382.83
p90
$711.45
p95
$990.32
p99
$1,462.08

50% of providers bill between $77.51 and $382.83 per claim for this code.

90% bill between $36.50 and $711.45.

Top 1% bill above $1,462.08.

About This Procedure

HCPCS code 36902 was billed by 454 providers across 349K claims, totaling $95.6M in Medicaid payments from 2018–2024. This code was used for 304K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$178.61

Providers Billing

440

National Spending

$95.6M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36902

#ProviderTotal Paid
11346469731$11.3M
21316997505$2.6M
31427577840$2.1M
41578088787$1.8M
51235104878$1.8M
61023567260$1.7M
71780140772$1.7M
81447200126$1.6M
91275077414$1.5M
10Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$1.5M
111093900961$1.4M
121689175333$1.4M
131992789721$1.2M
141356347439$1.2M
151962815746$1.2M
161578677811$1.2M
171437691177$1.1M
181487171575$1.1M
191801310768$1.1M
201174067318$994K

Showing top 20 of 454 providers billing this code