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#5755 of 11K

36557

HCPCS Procedure Code

HCPCS code 36557 is the #5,755 most-billed Medicaid procedure code, with $145K in payments across 323 claims from 2018–2024. The national median cost per claim is $404.71.

Total Paid

$145K

0.00% of all spending

Total Claims

323

Providers

4

Avg Cost/Claim

$447

National Cost Distribution

How much do providers bill per claim for 36557? Based on 4 providers billing this code nationally.

Median

$404.71

Average

$423.76

Std Dev

$249.41

Max

$720.97

Percentile Distribution (Cost per Claim)

p10
$199.67
p25
$252.18
Median
$404.71
p75
$576.29
p90
$663.09
p95
$692.03
p99
$715.18

50% of providers bill between $252.18 and $576.29 per claim for this code.

90% bill between $199.67 and $663.09.

Top 1% bill above $715.18.

About This Procedure

HCPCS code 36557 was billed by 4 providers across 323 claims, totaling $145K in Medicaid payments from 2018–2024. This code was used for 301 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$404.71

Providers Billing

4

National Spending

$145K

Avg/Median Ratio

1.05×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.