36227
HCPCS Procedure Code
HCPCS code 36227 is the #5,466 most-billed Medicaid procedure code, with $193K in payments across 1,506 claims from 2018–2024. The national median cost per claim is $101.13. Costs vary widely — the 90th percentile is $332.95 per claim, 3.3× the median.
Total Paid
$193K
0.00% of all spending
Total Claims
1,506
Providers
13
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for 36227? Based on 12 providers billing this code nationally.
Median
$101.13
Average
$466.21
Std Dev
$1,183.95
Max
$4,216.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $75.48 and $164.65 per claim for this code.
90% bill between $56.07 and $332.95.
Top 1% bill above $3,790.72.
About This Procedure
HCPCS code 36227 was billed by 13 providers across 1,506 claims, totaling $193K in Medicaid payments from 2018–2024. This code was used for 795 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.13
Providers Billing
12
National Spending
$193K
Avg/Median Ratio
4.61×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36227
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $76K |
| 2 | 1770717811 | $73K |
| 3 | 1780694380 | $14K |
| 4 | 1043233984 | $9K |
| 5 | 1194093229 | $6K |
| 6 | 1992041461 | $5K |
| 7 | 1316022312 | $5K |
| 8 | 1396814166 | $4K |
| 9 | Geisinger Clinic Danville, PA · Surgery | $1K |
| 10 | 1629387865 | $1K |
| 11 | 1619935525 | $885 |
| 12 | 1487601787 | $863 |
| 13 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $0 |
Showing top 13 of 13 providers billing this code