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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740689470 | $243K |
| 2 | 1871920652 | $125K |
| 3 | 1316957913 | $73K |
| 4 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $72K |
| 5 | 1457339277 | $63K |
| 6 | 1659347771 | $32K |
| 7 | 1689653487 | $29K |
| 8 | 1295178689 | $28K |
| 9 | 1407040546 | $25K |
| 10 | 1548306426 | $21K |
| 11 | 1225033020 | $20K |
| 12 | 1821175993 | $20K |
| 13 | 1487608931 | $20K |
| 14 | 1528195864 | $16K |
| 15 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $15K |
| 16 | 1760627764 | $14K |
| 17 | 1154367803 | $14K |
| 18 | 1306876065 | $13K |
| 19 | 1619242633 | $10K |
| 20 | 1346230968 | $10K |
Showing top 20 of 110 providers billing this code