69436
Tympanostomy, general anesthesia
Tympanostomy, general anesthesia is the #306 most-billed Medicaid procedure code, with $460.2M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $205.50. Costs vary widely — the 90th percentile is $1,114.91 per claim, 5.4× the median.
Total Paid
$460.2M
0.04% of all spending
Total Claims
1.1M
Providers
2K
Avg Cost/Claim
$420
National Cost Distribution
How much do providers bill per claim for 69436? Based on 2K providers billing this code nationally.
Median
$205.50
Average
$416.82
Std Dev
$456.98
Max
$3,336.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $138.34 and $498.02 per claim for this code.
90% bill between $106.97 and $1,114.91.
Top 1% bill above $2,074.89.
About This Procedure
HCPCS code 69436 (Tympanostomy, general anesthesia) was billed by 2K providers across 1.1M claims, totaling $460.2M in Medicaid payments from 2018–2024. This code was used for 853K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$205.50
Providers Billing
2K
National Spending
$460.2M
Avg/Median Ratio
2.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 69436
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $12.3M |
| 2 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $11.2M |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $10.6M |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $8.6M |
| 5 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $8.4M |
| 6 | Children's Hospital Corporation Boston, MA · Clinic/Center | $7.0M |
| 7 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $6.6M |
| 8 | 1689632119 | $6.5M |
| 9 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $6.0M |
| 10 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $4.7M |
| 11 | Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit | $4.4M |
| 12 | 1629161112 | $4.0M |
| 13 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $4.0M |
| 14 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $3.8M |
| 15 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $3.6M |
| 16 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $3.5M |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $3.5M |
| 18 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $3.4M |
| 19 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $3.3M |
| 20 | 1689664906 | $3.3M |
Showing top 20 of 2K providers billing this code