36000
HCPCS Procedure Code
HCPCS code 36000 is the #2,556 most-billed Medicaid procedure code, with $5.0M in payments across 440K claims from 2018–2024. The national median cost per claim is $6.65. Costs vary widely — the 90th percentile is $33.74 per claim, 5.1× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
440K
Providers
367
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 36000? Based on 284 providers billing this code nationally.
Median
$6.65
Average
$14.65
Std Dev
$33.09
Max
$470.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.33 and $16.54 per claim for this code.
90% bill between $0.28 and $33.74.
Top 1% bill above $97.21.
About This Procedure
HCPCS code 36000 was billed by 367 providers across 440K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 392K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.65
Providers Billing
284
National Spending
$5.0M
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36000
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $722K |
| 2 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $674K |
| 3 | 1245248939 | $206K |
| 4 | 1467437848 | $200K |
| 5 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $167K |
| 6 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $146K |
| 7 | 1104828383 | $143K |
| 8 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $142K |
| 9 | 1497759260 | $136K |
| 10 | Mount Sinai Hospital New York, NY · Ambulance | $129K |
| 11 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $107K |
| 12 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $101K |
| 13 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $94K |
| 14 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $92K |
| 15 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $86K |
| 16 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $86K |
| 17 | 1770280299 | $79K |
| 18 | 1457309247 | $73K |
| 19 | 1114095791 | $62K |
| 20 | 1003408857 | $60K |
Showing top 20 of 367 providers billing this code