36905
HCPCS Procedure Code
HCPCS code 36905 is the #2,470 most-billed Medicaid procedure code, with $5.6M in payments across 7K claims from 2018–2024. The national median cost per claim is $318.94. Costs vary widely — the 90th percentile is $1,006.95 per claim, 3.2× the median.
Total Paid
$5.6M
0.00% of all spending
Total Claims
7K
Providers
42
Avg Cost/Claim
$784
National Cost Distribution
How much do providers bill per claim for 36905? Based on 39 providers billing this code nationally.
Median
$318.94
Average
$537.18
Std Dev
$695.56
Max
$3,686.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $179.97 and $642.88 per claim for this code.
90% bill between $29.33 and $1,006.95.
Top 1% bill above $3,116.74.
About This Procedure
HCPCS code 36905 was billed by 42 providers across 7K claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$318.94
Providers Billing
39
National Spending
$5.6M
Avg/Median Ratio
1.68×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36905
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346469731 | $3.0M |
| 2 | 1316997505 | $971K |
| 3 | 1427577840 | $269K |
| 4 | 1255894051 | $225K |
| 5 | 1699714717 | $146K |
| 6 | 1689835563 | $120K |
| 7 | 1992789721 | $103K |
| 8 | 1407934425 | $98K |
| 9 | 1093900961 | $79K |
| 10 | 1629226428 | $79K |
| 11 | 1538157508 | $66K |
| 12 | 1982893483 | $51K |
| 13 | 1225062490 | $46K |
| 14 | 1982631222 | $38K |
| 15 | 1730148784 | $35K |
| 16 | 1649217787 | $32K |
| 17 | 1871748103 | $29K |
| 18 | 1972181493 | $17K |
| 19 | 1720509722 | $17K |
| 20 | 1609034396 | $16K |
Showing top 20 of 42 providers billing this code