36223
HCPCS Procedure Code
HCPCS code 36223 is the #5,284 most-billed Medicaid procedure code, with $240K in payments across 204 claims from 2018–2024. The national median cost per claim is $754.69. Costs vary widely — the 90th percentile is $2,135.71 per claim, 2.8× the median.
Total Paid
$240K
0.00% of all spending
Total Claims
204
Providers
6
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 36223? Based on 6 providers billing this code nationally.
Median
$754.69
Average
$1,000.22
Std Dev
$1,076.25
Max
$2,778.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $133.38 and $1,453.85 per claim for this code.
90% bill between $110.25 and $2,135.71.
Top 1% bill above $2,714.64.
About This Procedure
HCPCS code 36223 was billed by 6 providers across 204 claims, totaling $240K in Medicaid payments from 2018–2024. This code was used for 178 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$754.69
Providers Billing
6
National Spending
$240K
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36223
| # | Provider | Total Paid |
|---|---|---|
| 1 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $161K |
| 2 | 1336188291 | $39K |
| 3 | 1902865355 | $33K |
| 4 | 1093718496 | $3K |
| 5 | 1699761379 | $2K |
| 6 | 1326091448 | $2K |
Showing top 6 of 6 providers billing this code