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#5396 of 11K

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)

p10
$35.11
p25
$63.05
Median
$147.63
p75
$360.27
p90
$445.38
p95
$455.26
p99
$463.16

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

#ProviderTotal Paid
11558578583$177K
21568803047$5K
31033230347$5K
41194202234$5K
51649585399$4K
61124450572$3K
71194093229$3K
81982029732$2K
91710959457$2K
101154396489$1K
111437173804$960
121518954312$0
131154472785$0

Showing top 13 of 13 providers billing this code