A7036
HCPCS Procedure Code
HCPCS code A7036 is the #3,473 most-billed Medicaid procedure code, with $1.6M in payments across 200K claims from 2018–2024. The national median cost per claim is $7.69.
Total Paid
$1.6M
0.00% of all spending
Total Claims
200K
Providers
363
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for A7036? Based on 358 providers billing this code nationally.
Median
$7.69
Average
$7.63
Std Dev
$3.11
Max
$20.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.83 and $9.69 per claim for this code.
90% bill between $3.34 and $11.22.
Top 1% bill above $16.08.
About This Procedure
HCPCS code A7036 was billed by 363 providers across 200K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 188K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.69
Providers Billing
358
National Spending
$1.6M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7036
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801129135 | $141K |
| 2 | 1841488988 | $111K |
| 3 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $64K |
| 4 | 1073551446 | $62K |
| 5 | 1952310310 | $57K |
| 6 | 1396851184 | $55K |
| 7 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $39K |
| 8 | 1962426122 | $36K |
| 9 | 1710057500 | $32K |
| 10 | 1285642025 | $29K |
| 11 | 1730182023 | $29K |
| 12 | 1700119559 | $27K |
| 13 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $27K |
| 14 | 1003889270 | $25K |
| 15 | 1043276819 | $25K |
| 16 | 1134303902 | $21K |
| 17 | 1922046085 | $20K |
| 18 | 1265526396 | $20K |
| 19 | 1558685925 | $20K |
| 20 | 1013934694 | $18K |
Showing top 20 of 363 providers billing this code