87636
Respiratory virus detection, 6-11 targets, nucleic acid
Respiratory virus detection, 6-11 targets, nucleic acid is the #256 most-billed Medicaid procedure code, with $552.3M in payments across 6.6M claims from 2018–2024. The national median cost per claim is $97.61.
Total Paid
$552.3M
0.05% of all spending
Total Claims
6.6M
Providers
3K
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for 87636? Based on 2K providers billing this code nationally.
Median
$97.61
Average
$89.52
Std Dev
$51.01
Max
$568.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.62 and $126.16 per claim for this code.
90% bill between $13.50 and $142.17.
Top 1% bill above $210.70.
About This Procedure
HCPCS code 87636 (Respiratory virus detection, 6-11 targets, nucleic acid) was billed by 3K providers across 6.6M claims, totaling $552.3M in Medicaid payments from 2018–2024. This code was used for 5.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.61
Providers Billing
2K
National Spending
$552.3M
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 87636
| # | Provider | Total Paid |
|---|---|---|
| 1 | Gentech Laboratories Llc Dallas, TX · Clinical Medical Laboratory | $35.9M |
| 2 | 1306983762 | $17.6M |
| 3 | Mira Precision Health Inc Mason, OH · Clinical Medical Laboratory | $13.2M |
| 4 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $10.0M |
| 5 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $9.4M |
| 6 | Us Medical Labs Inc Lombard, IL · Clinical Medical Laboratory | $9.4M |
| 7 | 1639115132 | $8.9M |
| 8 | Mmm Diagnostic Center Inc Lombard, IL · Clinical Medical Laboratory | $7.9M |
| 9 | 1326093873 | $6.0M |
| 10 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $5.8M |
| 11 | 1659425825 | $5.8M |
| 12 | Fulgent Therapeutics Llc. El Monte, CA · Clinical Medical Laboratory | $5.2M |
| 13 | 1326695255 | $5.2M |
| 14 | 1790023547 | $5.1M |
| 15 | 1821057407 | $4.9M |
| 16 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $4.8M |
| 17 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $4.2M |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $4.2M |
| 19 | 1568431088 | $4.1M |
| 20 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $3.9M |
Showing top 20 of 3K providers billing this code