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#3101 of 11K

36215

HCPCS Procedure Code

HCPCS code 36215 is the #3,101 most-billed Medicaid procedure code, with $2.5M in payments across 27K claims from 2018–2024. The national median cost per claim is $81.21. Costs vary widely — the 90th percentile is $233.65 per claim, 2.9× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

27K

Providers

78

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for 36215? Based on 75 providers billing this code nationally.

Median

$81.21

Average

$114.62

Std Dev

$90.02

Max

$395.80

Percentile Distribution (Cost per Claim)

p10
$30.34
p25
$40.75
Median
$81.21
p75
$168.77
p90
$233.65
p95
$284.24
p99
$383.87

50% of providers bill between $40.75 and $168.77 per claim for this code.

90% bill between $30.34 and $233.65.

Top 1% bill above $383.87.

About This Procedure

HCPCS code 36215 was billed by 78 providers across 27K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$81.21

Providers Billing

75

National Spending

$2.5M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36215

#ProviderTotal Paid
11205380102$198K
21700274149$181K
31891928255$173K
41316997505$155K
51437312758$149K
61417083783$136K
71104960558$97K
81770220972$89K
91346734365$86K
101134426893$86K
111841428539$76K
121912245853$66K
131982631222$63K
141487673448$62K
151134388770$59K
161982893483$52K
171871748103$50K
181053336156$47K
191114953783$45K
201184668899$40K

Showing top 20 of 78 providers billing this code