A6536
HCPCS Procedure Code
HCPCS code A6536 is the #4,994 most-billed Medicaid procedure code, with $326K in payments across 4K claims from 2018–2024. The national median cost per claim is $87.56.
Total Paid
$326K
0.00% of all spending
Total Claims
4K
Providers
7
Avg Cost/Claim
$91
National Cost Distribution
How much do providers bill per claim for A6536? Based on 7 providers billing this code nationally.
Median
$87.56
Average
$80.34
Std Dev
$30.47
Max
$120.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.58 and $100.98 per claim for this code.
90% bill between $43.09 and $109.17.
Top 1% bill above $119.33.
About This Procedure
HCPCS code A6536 was billed by 7 providers across 4K claims, totaling $326K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$87.56
Providers Billing
7
National Spending
$326K
Avg/Median Ratio
0.92×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6536
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851600647 | $151K |
| 2 | 1972550028 | $101K |
| 3 | 1518007913 | $34K |
| 4 | 1609892868 | $29K |
| 5 | 1144358839 | $5K |
| 6 | 1164472411 | $3K |
| 7 | 1588947246 | $3K |
Showing top 7 of 7 providers billing this code