Z5936
HCPCS Procedure Code
HCPCS code Z5936 is the #5,272 most-billed Medicaid procedure code, with $244K in payments across 4K claims from 2018–2024. The national median cost per claim is $57.03.
Total Paid
$244K
0.00% of all spending
Total Claims
4K
Providers
9
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for Z5936? Based on 9 providers billing this code nationally.
Median
$57.03
Average
$63.89
Std Dev
$13.19
Max
$84.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.31 and $74.23 per claim for this code.
90% bill between $52.88 and $84.02.
Top 1% bill above $84.36.
About This Procedure
HCPCS code Z5936 was billed by 9 providers across 4K claims, totaling $244K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.03
Providers Billing
9
National Spending
$244K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5936
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386162949 | $68K |
| 2 | 1598854846 | $49K |
| 3 | 1710065933 | $42K |
| 4 | 1275583205 | $34K |
| 5 | 1134218332 | $20K |
| 6 | 1760491021 | $13K |
| 7 | 1366489197 | $13K |
| 8 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $4K |
| 9 | 1952777245 | $1K |
Showing top 9 of 9 providers billing this code