36245
HCPCS Procedure Code
HCPCS code 36245 is the #5,396 most-billed Medicaid procedure code, with $209K in payments across 850 claims from 2018–2024. The national median cost per claim is $147.63. Costs vary widely — the 90th percentile is $445.38 per claim, 3.0× the median.
Total Paid
$209K
0.00% of all spending
Total Claims
850
Providers
13
Avg Cost/Claim
$246
National Cost Distribution
How much do providers bill per claim for 36245? Based on 11 providers billing this code nationally.
Median
$147.63
Average
$206.55
Std Dev
$171.08
Max
$465.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.05 and $360.27 per claim for this code.
90% bill between $35.11 and $445.38.
Top 1% bill above $463.16.
About This Procedure
HCPCS code 36245 was billed by 13 providers across 850 claims, totaling $209K in Medicaid payments from 2018–2024. This code was used for 648 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$147.63
Providers Billing
11
National Spending
$209K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36245
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558578583 | $177K |
| 2 | 1568803047 | $5K |
| 3 | 1033230347 | $5K |
| 4 | 1194202234 | $5K |
| 5 | 1649585399 | $4K |
| 6 | 1124450572 | $3K |
| 7 | 1194093229 | $3K |
| 8 | 1982029732 | $2K |
| 9 | 1710959457 | $2K |
| 10 | 1154396489 | $1K |
| 11 | 1437173804 | $960 |
| 12 | 1518954312 | $0 |
| 13 | 1154472785 | $0 |
Showing top 13 of 13 providers billing this code