1036F
HCPCS Procedure Code
HCPCS code 1036F is the #3,233 most-billed Medicaid procedure code, with $2.2M in payments across 27.1M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $3.88 per claim, 388.0× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
27.1M
Providers
11K
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1036F? Based on 1,114 providers billing this code nationally.
Median
$0.01
Average
$2.15
Std Dev
$9.05
Max
$136.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.30 per claim for this code.
90% bill between $0.00 and $3.88.
Top 1% bill above $50.25.
About This Procedure
HCPCS code 1036F was billed by 11K providers across 27.1M claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 22.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
1,114
National Spending
$2.2M
Avg/Median Ratio
215.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1036F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013042480 | $229K |
| 2 | 1104275882 | $221K |
| 3 | Marillac Clinic Inc. Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC) | $218K |
| 4 | 1164874426 | $127K |
| 5 | 1528496650 | $70K |
| 6 | 1578539979 | $60K |
| 7 | 1336185164 | $58K |
| 8 | 1154354744 | $43K |
| 9 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $38K |
| 10 | 1730136680 | $38K |
| 11 | 1417076829 | $37K |
| 12 | 1508886805 | $35K |
| 13 | 1770697278 | $30K |
| 14 | 1013491208 | $30K |
| 15 | 1841343779 | $24K |
| 16 | 1801530928 | $22K |
| 17 | 1023561248 | $22K |
| 18 | 1114105384 | $22K |
| 19 | 1134543457 | $20K |
| 20 | 1215940796 | $20K |
Showing top 20 of 11K providers billing this code