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#6430 of 11K

36568

HCPCS Procedure Code

HCPCS code 36568 is the #6,430 most-billed Medicaid procedure code, with $66K in payments across 400 claims from 2018–2024. The national median cost per claim is $46.25. Costs vary widely — the 90th percentile is $198.20 per claim, 4.3× the median.

Total Paid

$66K

0.00% of all spending

Total Claims

400

Providers

6

Avg Cost/Claim

$164

National Cost Distribution

How much do providers bill per claim for 36568? Based on 6 providers billing this code nationally.

Median

$46.25

Average

$87.19

Std Dev

$91.98

Max

$245.00

Percentile Distribution (Cost per Claim)

p10
$17.10
p25
$27.62
Median
$46.25
p75
$126.13
p90
$198.20
p95
$221.60
p99
$240.32

50% of providers bill between $27.62 and $126.13 per claim for this code.

90% bill between $17.10 and $198.20.

Top 1% bill above $240.32.

About This Procedure

HCPCS code 36568 was billed by 6 providers across 400 claims, totaling $66K in Medicaid payments from 2018–2024. This code was used for 326 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.25

Providers Billing

6

National Spending

$66K

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36568

#ProviderTotal Paid
11346230968$48K
21336192665$13K
31104900455$4K
41669423265$549
51477554814$296
6State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$218

Showing top 6 of 6 providers billing this code