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#5763 of 11K

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)

p10
$26.16
p25
$51.21
Median
$107.90
p75
$233.23
p90
$480.35
p95
$526.97
p99
$564.26

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

#ProviderTotal Paid
11700331196$75K
21154356087$28K
31902855828$22K
41811920549$8K
5Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$3K
61205947132$3K
7Ut Physicians

Houston, TX · Emergency Medicine

$2K
81801869250$1K
91063526960$513
101336219849$386
11Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$0

Showing top 11 of 11 providers billing this code