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#7939 of 11K

36513

HCPCS Procedure Code

HCPCS code 36513 is the #7,939 most-billed Medicaid procedure code, with $8K in payments across 162 claims from 2018–2024. The national median cost per claim is $36.34.

Total Paid

$8K

0.00% of all spending

Total Claims

162

Providers

2

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for 36513? Based on 2 providers billing this code nationally.

Median

$36.34

Average

$36.34

Std Dev

$34.70

Max

$60.88

Percentile Distribution (Cost per Claim)

p10
$16.71
p25
$24.07
Median
$36.34
p75
$48.61
p90
$55.97
p95
$58.42
p99
$60.38

50% of providers bill between $24.07 and $48.61 per claim for this code.

90% bill between $16.71 and $55.97.

Top 1% bill above $60.38.

About This Procedure

HCPCS code 36513 was billed by 2 providers across 162 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 137 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.34

Providers Billing

2

National Spending

$8K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.