#3926 of 11K

36589

HCPCS Procedure Code

HCPCS code 36589 is the #3,926 most-billed Medicaid procedure code, with $1.0M in payments across 9K claims from 2018–2024. The national median cost per claim is $74.29. Costs vary widely — the 90th percentile is $280.41 per claim, 3.8× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for 36589? Based on 76 providers billing this code nationally.

Median

$74.29

Average

$111.02

Std Dev

$116.51

Max

$611.00

Percentile Distribution (Cost per Claim)

p10

$17.79

p25

$45.25

Median

$74.29

p75

$118.27

p90

$280.41

p95

$376.19

p99

$507.49

50% of providers bill between $45.25 and $118.27 per claim for this code.

90% bill between $17.79 and $280.41.

Top 1% bill above $507.49.

About This Procedure

HCPCS code 36589 was billed by 77 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

$74.29

Providers Billing

National Spending

$1.0M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36589

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1346469731	$337K	$129.44	1.7× median	Above 75th
2	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$79K	$287.82	3.9× median	Top 10%
3	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$59K	$315.95	4.3× median	Top 10%
4	1316997505	$50K	$93.90	1.3× median	Above Median
5	1578088787	$42K	$120.91	1.6× median	Above 75th
6	1982631222	$40K	$79.20	1.1× median	Above Median
7	1457309247	$37K	$69.44	0.9× median	Below Median
8	1376719666	$29K	$68.46	0.9× median	Below Median
9	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$28K	$472.99	6.4× median	Top 10%
10	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$28K	$368.05	5.0× median	Top 10%
11	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$27K	$611.00	8.2× median	Top 1%
12	1487327201	$22K	$109.76	1.5× median	Above Median
13	1407805203	$15K	$49.48	0.7× median	Below Median
14	1093900961	$12K	$50.82	0.7× median	Below Median
15	1104960558	$11K	$113.23	1.5× median	Above Median
16	1982893483	$11K	$50.18	0.7× median	Below Median
17	1134882277	$11K	$74.74	1.0× median	Above Median
18	1427577840	$10K	$100.91	1.4× median	Above Median
19	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$10K	$172.98	2.3× median	Above 75th
20	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$9K	$149.84	2.0× median	Above 75th

Showing top 20 of 77 providers billing this code

Related Procedures

36591$17.9M 36592$5.0M 36593$3.1M 36581$1.2M 36590$529K

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