36012
HCPCS Procedure Code
HCPCS code 36012 is the #2,870 most-billed Medicaid procedure code, with $3.3M in payments across 7,144 claims from 2018–2024. The national median cost per claim is $112.32. Costs vary widely — the 90th percentile is $393.53 per claim, 3.5× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
7,144
Providers
14
Avg Cost/Claim
$455
National Cost Distribution
How much do providers bill per claim for 36012? Based on 14 providers billing this code nationally.
Median
$112.32
Average
$195.91
Std Dev
$202.15
Max
$774.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.69 and $243.20 per claim for this code.
90% bill between $46.55 and $393.53.
Top 1% bill above $730.60.
About This Procedure
HCPCS code 36012 was billed by 14 providers across 7,144 claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 6,042 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$112.32
Providers Billing
14
National Spending
$3.3M
Avg/Median Ratio
1.74×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36012
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700331196 | $1.5M |
| 2 | 1154356087 | $1.4M |
| 3 | 1578949889 | $91K |
| 4 | 1326368630 | $72K |
| 5 | 1275508954 | $64K |
| 6 | 1689825499 | $10K |
| 7 | 1699833327 | $10K |
| 8 | 1255899704 | $10K |
| 9 | 1184914723 | $8K |
| 10 | 1164460077 | $8K |
| 11 | 1912435173 | $2K |
| 12 | 1447230388 | $2K |
| 13 | 1265829527 | $1K |
| 14 | 1336219849 | $100 |
Showing top 14 of 14 providers billing this code