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#3900 of 11K

36558

HCPCS Procedure Code

HCPCS code 36558 is the #3,900 most-billed Medicaid procedure code, with $1.0M in payments across 9K claims from 2018–2024. The national median cost per claim is $112.94. Costs vary widely — the 90th percentile is $267.03 per claim, 2.4× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

9K

Providers

88

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for 36558? Based on 84 providers billing this code nationally.

Median

$112.94

Average

$153.82

Std Dev

$176.45

Max

$1,435.49

Percentile Distribution (Cost per Claim)

p10
$42.96
p25
$81.31
Median
$112.94
p75
$156.68
p90
$267.03
p95
$369.94
p99
$720.05

50% of providers bill between $81.31 and $156.68 per claim for this code.

90% bill between $42.96 and $267.03.

Top 1% bill above $720.05.

About This Procedure

HCPCS code 36558 was billed by 88 providers across 9K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$112.94

Providers Billing

84

National Spending

$1.0M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36558

#ProviderTotal Paid
11740283324$163K
21376719666$106K
31912956814$74K
41174624712$74K
51336192665$59K
6Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$49K
71679529978$48K
81407805203$44K
91346469731$24K
101326450156$23K
111487608931$20K
121093796609$19K
131073827101$17K
141609847367$16K
151881670248$15K
161154367803$14K
171750751566$12K
181801840434$11K
19Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$11K
201669423265$10K

Showing top 20 of 88 providers billing this code