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#4531 of 11K

36590

HCPCS Procedure Code

HCPCS code 36590 is the #4,531 most-billed Medicaid procedure code, with $529K in payments across 994 claims from 2018–2024. The national median cost per claim is $465.43. Costs vary widely — the 90th percentile is $955.90 per claim, 2.1× the median.

Total Paid

$529K

0.00% of all spending

Total Claims

994

Providers

22

Avg Cost/Claim

$533

National Cost Distribution

How much do providers bill per claim for 36590? Based on 22 providers billing this code nationally.

Median

$465.43

Average

$485.70

Std Dev

$387.60

Max

$1,316.54

Percentile Distribution (Cost per Claim)

p10
$84.89
p25
$112.22
Median
$465.43
p75
$793.62
p90
$955.90
p95
$966.45
p99
$1,243.09

50% of providers bill between $112.22 and $793.62 per claim for this code.

90% bill between $84.89 and $955.90.

Top 1% bill above $1,243.09.

About This Procedure

HCPCS code 36590 was billed by 22 providers across 994 claims, totaling $529K in Medicaid payments from 2018–2024. This code was used for 910 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$465.43

Providers Billing

22

National Spending

$529K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36590

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$131K
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$79K
3Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$77K
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$72K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$39K
6Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$22K
7The Cooper Health System

Camden, NJ · General Acute Care Hospital

$17K
8Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$16K
91740283324$16K
10Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$15K
11Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$9K
12Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$8K
13Multicare Health System

Tacoma, WA · Community/Behavioral Health

$7K
14Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$7K
15Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$6K
16Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$2K
17Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$2K
181780653618$2K
19William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$1K
201871528026$1K

Showing top 20 of 22 providers billing this code