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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205380102 | $198K |
| 2 | 1700274149 | $181K |
| 3 | 1891928255 | $173K |
| 4 | 1316997505 | $155K |
| 5 | 1437312758 | $149K |
| 6 | 1417083783 | $136K |
| 7 | 1104960558 | $97K |
| 8 | 1770220972 | $89K |
| 9 | 1346734365 | $86K |
| 10 | 1134426893 | $86K |
| 11 | 1841428539 | $76K |
| 12 | 1912245853 | $66K |
| 13 | 1982631222 | $63K |
| 14 | 1487673448 | $62K |
| 15 | 1134388770 | $59K |
| 16 | 1982893483 | $52K |
| 17 | 1871748103 | $50K |
| 18 | 1053336156 | $47K |
| 19 | 1114953783 | $45K |
| 20 | 1184668899 | $40K |
Showing top 20 of 78 providers billing this code