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#3857 of 11K

36569

HCPCS Procedure Code

HCPCS code 36569 is the #3,857 most-billed Medicaid procedure code, with $1.1M in payments across 20K claims from 2018–2024. The national median cost per claim is $45.13. Costs vary widely — the 90th percentile is $166.99 per claim, 3.7× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

20K

Providers

110

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for 36569? Based on 109 providers billing this code nationally.

Median

$45.13

Average

$73.00

Std Dev

$85.88

Max

$415.65

Percentile Distribution (Cost per Claim)

p10
$20.05
p25
$28.69
Median
$45.13
p75
$77.21
p90
$166.99
p95
$258.50
p99
$410.28

50% of providers bill between $28.69 and $77.21 per claim for this code.

90% bill between $20.05 and $166.99.

Top 1% bill above $410.28.

About This Procedure

HCPCS code 36569 was billed by 110 providers across 20K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.13

Providers Billing

109

National Spending

$1.1M

Avg/Median Ratio

1.62×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36569

#ProviderTotal Paid
11740689470$243K
21871920652$125K
31316957913$73K
4William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$72K
51457339277$63K
61659347771$32K
71689653487$29K
81295178689$28K
91407040546$25K
101548306426$21K
111225033020$20K
121821175993$20K
131487608931$20K
141528195864$16K
15Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$15K
161760627764$14K
171154367803$14K
181306876065$13K
191619242633$10K
201346230968$10K

Showing top 20 of 110 providers billing this code