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#6142 of 11K

36010

HCPCS Procedure Code

HCPCS code 36010 is the #6,142 most-billed Medicaid procedure code, with $91K in payments across 2,319 claims from 2018–2024. The national median cost per claim is $30.49. Costs vary widely — the 90th percentile is $170.36 per claim, 5.6× the median.

Total Paid

$91K

0.00% of all spending

Total Claims

2,319

Providers

12

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 36010? Based on 11 providers billing this code nationally.

Median

$30.49

Average

$84.51

Std Dev

$127.71

Max

$423.98

Percentile Distribution (Cost per Claim)

p10
$8.80
p25
$13.78
Median
$30.49
p75
$105.20
p90
$170.36
p95
$297.17
p99
$398.62

50% of providers bill between $13.78 and $105.20 per claim for this code.

90% bill between $8.80 and $170.36.

Top 1% bill above $398.62.

About This Procedure

HCPCS code 36010 was billed by 12 providers across 2,319 claims, totaling $91K in Medicaid payments from 2018–2024. This code was used for 1,534 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.49

Providers Billing

11

National Spending

$91K

Avg/Median Ratio

2.77×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 36010

#ProviderTotal Paid
11891060398$48K
21346734365$12K
31063526960$9K
41386935781$8K
51912245853$7K
61578035317$4K
71386608354$2K
81396087672$809
91568441541$427
101942246111$307
111336219849$222
12Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$0

Showing top 12 of 12 providers billing this code