36011
HCPCS Procedure Code
HCPCS code 36011 is the #5,763 most-billed Medicaid procedure code, with $143K in payments across 684 claims from 2018–2024. The national median cost per claim is $107.90. Costs vary widely — the 90th percentile is $480.35 per claim, 4.5× the median.
Total Paid
$143K
0.00% of all spending
Total Claims
684
Providers
11
Avg Cost/Claim
$209
National Cost Distribution
How much do providers bill per claim for 36011? Based on 10 providers billing this code nationally.
Median
$107.90
Average
$186.72
Std Dev
$193.91
Max
$573.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.21 and $233.23 per claim for this code.
90% bill between $26.16 and $480.35.
Top 1% bill above $564.26.
About This Procedure
HCPCS code 36011 was billed by 11 providers across 684 claims, totaling $143K in Medicaid payments from 2018–2024. This code was used for 559 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$107.90
Providers Billing
10
National Spending
$143K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36011
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700331196 | $75K |
| 2 | 1154356087 | $28K |
| 3 | 1902855828 | $22K |
| 4 | 1811920549 | $8K |
| 5 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $3K |
| 6 | 1205947132 | $3K |
| 7 | Ut Physicians Houston, TX · Emergency Medicine | $2K |
| 8 | 1801869250 | $1K |
| 9 | 1063526960 | $513 |
| 10 | 1336219849 | $386 |
| 11 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $0 |
Showing top 11 of 11 providers billing this code