96367
HCPCS Procedure Code
HCPCS code 96367 is the #627 most-billed Medicaid procedure code, with $121.8M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $29.27. Costs vary widely — the 90th percentile is $80.58 per claim, 2.8× the median.
Total Paid
$121.8M
0.01% of all spending
Total Claims
2.5M
Providers
2K
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 96367? Based on 2K providers billing this code nationally.
Median
$29.27
Average
$41.65
Std Dev
$54.43
Max
$1,126.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.14 and $49.31 per claim for this code.
90% bill between $7.00 and $80.58.
Top 1% bill above $235.77.
About This Procedure
HCPCS code 96367 was billed by 2K providers across 2.5M claims, totaling $121.8M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.27
Providers Billing
2K
National Spending
$121.8M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96367
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699756221 | $4.2M |
| 2 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $3.8M |
| 3 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $2.8M |
| 4 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $2.1M |
| 5 | 1366436073 | $1.7M |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $1.5M |
| 7 | 1679900567 | $1.3M |
| 8 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $1.1M |
| 9 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $1.1M |
| 10 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $1.1M |
| 11 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $1.1M |
| 12 | 1457409674 | $990K |
| 13 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $953K |
| 14 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $882K |
| 15 | 1609983790 | $861K |
| 16 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $859K |
| 17 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $842K |
| 18 | 1184197683 | $789K |
| 19 | 1447276605 | $767K |
| 20 | 1346211323 | $740K |
Showing top 20 of 2K providers billing this code