#4205 of 11K

36005

HCPCS Procedure Code

HCPCS code 36005 is the #4,205 most-billed Medicaid procedure code, with $755K in payments across 3,743 claims from 2018–2024. The national median cost per claim is $45.54. Costs vary widely — the 90th percentile is $143.71 per claim, 3.2× the median.

Total Paid

$755K

0.00% of all spending

Total Claims

3,743

Providers

Avg Cost/Claim

$202

National Cost Distribution

How much do providers bill per claim for 36005? Based on 20 providers billing this code nationally.

Median

$45.54

Average

$80.33

Std Dev

$107.00

Max

$496.01

Percentile Distribution (Cost per Claim)

p10

$12.59

p25

$29.21

Median

$45.54

p75

$92.09

p90

$143.71

p95

$171.27

p99

$431.06

50% of providers bill between $29.21 and $92.09 per claim for this code.

90% bill between $12.59 and $143.71.

Top 1% bill above $431.06.

About This Procedure

HCPCS code 36005 was billed by 25 providers across 3,743 claims, totaling $755K in Medicaid payments from 2018–2024. This code was used for 3,513 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$45.54

Providers Billing

National Spending

$755K

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36005

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology	$630K	$496.01	10.9× median	Top 1%
2	1346891389	$36K	$34.92	0.8× median	Below Median
3	1710959150	$25K	$101.36	2.2× median	Above 75th
4	1760572036	$12K	$90.32	2.0× median	Above Median
5	1043376767	$10K	$154.18	3.4× median	Top 10%
6	1942251848	$7K	$97.40	2.1× median	Above 75th
7	1205906229	$7K	$31.97	0.7× median	Below Median
8	1982711503	$5K	$43.41	1.0× median	Below Median
9	1720178098	$5K	$47.67	1.0× median	Above Median
10	1982689113	$4K	$37.86	0.8× median	Below Median
11	1912435173	$4K	$142.54	3.1× median	Above 75th
12	1831248236	$3K	$90.16	2.0× median	Above Median
13	1578949889	$2K	$83.08	1.8× median	Above Median
14	1144617416	$2K	$59.51	1.3× median	Above Median
15	1033535497	$858	$20.93	0.5× median	Below Median
16	1982678496	$573	$33.68	0.7× median	Below Median
17	1669492427	$347	$16.51	0.4× median	Below Median
18	1720423478	$228	$12.69	0.3× median	Below Median
19	1386608354	$152	$11.67	0.3× median	Below Median
20	1700154226	$10	$0.67	0.0× median	Below Median

Showing top 20 of 25 providers billing this code

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