36512
HCPCS Procedure Code
HCPCS code 36512 is the #1,511 most-billed Medicaid procedure code, with $20.8M in payments across 46K claims from 2018–2024. The national median cost per claim is $118.48. Costs vary widely — the 90th percentile is $1,431.25 per claim, 12.1× the median.
Total Paid
$20.8M
0.00% of all spending
Total Claims
46K
Providers
63
Avg Cost/Claim
$456
National Cost Distribution
How much do providers bill per claim for 36512? Based on 62 providers billing this code nationally.
Median
$118.48
Average
$509.86
Std Dev
$727.07
Max
$3,096.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.25 and $571.51 per claim for this code.
90% bill between $35.46 and $1,431.25.
Top 1% bill above $3,038.24.
About This Procedure
HCPCS code 36512 was billed by 63 providers across 46K claims, totaling $20.8M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$118.48
Providers Billing
62
National Spending
$20.8M
Avg/Median Ratio
4.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36512
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $3.4M |
| 2 | 1427360700 | $2.0M |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.5M |
| 4 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1.2M |
| 5 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $1.2M |
| 6 | State Of Connecticut Farmington, CT · Counselor, Professional | $1.1M |
| 7 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $953K |
| 8 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $913K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $890K |
| 10 | 1356307581 | $783K |
| 11 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $738K |
| 12 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $669K |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $634K |
| 14 | 1578597993 | $609K |
| 15 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $574K |
| 16 | 1437119310 | $558K |
| 17 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $534K |
| 18 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $344K |
| 19 | 1316900277 | $235K |
| 20 | 1144213117 | $207K |
Showing top 20 of 63 providers billing this code