36903
HCPCS Procedure Code
HCPCS code 36903 is the #3,127 most-billed Medicaid procedure code, with $2.4M in payments across 2K claims from 2018–2024. The national median cost per claim is $492.66. Costs vary widely — the 90th percentile is $2,234.38 per claim, 4.5× the median.
Total Paid
$2.4M
0.00% of all spending
Total Claims
2K
Providers
31
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 36903? Based on 29 providers billing this code nationally.
Median
$492.66
Average
$746.20
Std Dev
$812.66
Max
$2,820.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $175.52 and $880.94 per claim for this code.
90% bill between $101.23 and $2,234.38.
Top 1% bill above $2,817.38.
About This Procedure
HCPCS code 36903 was billed by 31 providers across 2K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$492.66
Providers Billing
29
National Spending
$2.4M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36903
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346469731 | $784K |
| 2 | 1104960558 | $439K |
| 3 | 1700274149 | $234K |
| 4 | 1093900961 | $114K |
| 5 | 1366687568 | $109K |
| 6 | 1275199978 | $101K |
| 7 | 1073250445 | $96K |
| 8 | 1346420783 | $81K |
| 9 | 1982631222 | $79K |
| 10 | 1629226428 | $78K |
| 11 | 1750835336 | $71K |
| 12 | 1255894051 | $62K |
| 13 | 1871748103 | $37K |
| 14 | 1215245238 | $36K |
| 15 | 1386885226 | $35K |
| 16 | 1023542339 | $21K |
| 17 | 1942956123 | $14K |
| 18 | 1346215985 | $11K |
| 19 | 1962815746 | $10K |
| 20 | 1063487627 | $5K |
Showing top 20 of 31 providers billing this code