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#3764 of 11K

36581

HCPCS Procedure Code

HCPCS code 36581 is the #3,764 most-billed Medicaid procedure code, with $1.2M in payments across 6K claims from 2018–2024. The national median cost per claim is $106.31. Costs vary widely — the 90th percentile is $402.80 per claim, 3.8× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

6K

Providers

49

Avg Cost/Claim

$202

National Cost Distribution

How much do providers bill per claim for 36581? Based on 46 providers billing this code nationally.

Median

$106.31

Average

$176.23

Std Dev

$181.04

Max

$818.26

Percentile Distribution (Cost per Claim)

p10
$38.08
p25
$59.37
Median
$106.31
p75
$214.65
p90
$402.80
p95
$606.26
p99
$747.48

50% of providers bill between $59.37 and $214.65 per claim for this code.

90% bill between $38.08 and $402.80.

Top 1% bill above $747.48.

About This Procedure

HCPCS code 36581 was billed by 49 providers across 6K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.31

Providers Billing

46

National Spending

$1.2M

Avg/Median Ratio

1.66×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36581

#ProviderTotal Paid
11346469731$456K
21427577840$145K
31720509722$72K
41578088787$60K
51982893483$55K
61336649714$49K
71154873594$43K
81831130723$41K
91982631222$27K
101780676650$27K
111346734365$24K
121679769434$23K
131487171575$21K
141063487627$20K
15Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$16K
161780140772$14K
171689175333$13K
181790237501$11K
191255894051$8K
201922531268$8K

Showing top 20 of 49 providers billing this code