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#3320 of 11K

36901

HCPCS Procedure Code

HCPCS code 36901 is the #3,320 most-billed Medicaid procedure code, with $1.9M in payments across 17K claims from 2018–2024. The national median cost per claim is $69.67. Costs vary widely — the 90th percentile is $223.36 per claim, 3.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

17K

Providers

106

Avg Cost/Claim

$112

National Cost Distribution

How much do providers bill per claim for 36901? Based on 103 providers billing this code nationally.

Median

$69.67

Average

$114.27

Std Dev

$159.31

Max

$1,324.42

Percentile Distribution (Cost per Claim)

p10
$26.78
p25
$42.25
Median
$69.67
p75
$129.35
p90
$223.36
p95
$253.92
p99
$820.25

50% of providers bill between $42.25 and $129.35 per claim for this code.

90% bill between $26.78 and $223.36.

Top 1% bill above $820.25.

About This Procedure

HCPCS code 36901 was billed by 106 providers across 17K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.67

Providers Billing

103

National Spending

$1.9M

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36901

#ProviderTotal Paid
11346469731$436K
21982631222$163K
31316997505$156K
41487171575$125K
51720509722$102K
61427577840$79K
71770072803$71K
81447200126$67K
91417083783$50K
101578882965$49K
111649217787$43K
121508815333$38K
131407947898$29K
141073772588$27K
151205380102$25K
161083664189$23K
171346734365$21K
181780676650$19K
191780140772$19K
201447211966$18K

Showing top 20 of 106 providers billing this code