36224
HCPCS Procedure Code
HCPCS code 36224 is the #2,548 most-billed Medicaid procedure code, with $5.0M in payments across 5,090 claims from 2018–2024. The national median cost per claim is $305.20. Costs vary widely — the 90th percentile is $4,485.12 per claim, 14.7× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
5,090
Providers
57
Avg Cost/Claim
$989
National Cost Distribution
How much do providers bill per claim for 36224? Based on 55 providers billing this code nationally.
Median
$305.20
Average
$1,321.49
Std Dev
$1,831.32
Max
$7,004.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $181.31 and $1,827.13 per claim for this code.
90% bill between $146.14 and $4,485.12.
Top 1% bill above $6,663.41.
About This Procedure
HCPCS code 36224 was billed by 57 providers across 5,090 claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 3,759 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$305.20
Providers Billing
55
National Spending
$5.0M
Avg/Median Ratio
4.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36224
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780694380 | $1.0M |
| 2 | 1043275787 | $503K |
| 3 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $467K |
| 4 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $440K |
| 5 | 1477582526 | $338K |
| 6 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $309K |
| 7 | 1770717811 | $228K |
| 8 | Sage River Counseling Seattle, WA · Counselor Mental Health | $206K |
| 9 | 1144266024 | $153K |
| 10 | 1992041461 | $152K |
| 11 | 1114215944 | $140K |
| 12 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $139K |
| 13 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $91K |
| 14 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $84K |
| 15 | 1043233984 | $76K |
| 16 | 1538535158 | $74K |
| 17 | 1417315300 | $59K |
| 18 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $57K |
| 19 | 1568667806 | $49K |
| 20 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $49K |
Showing top 20 of 57 providers billing this code