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#4931 of 11K

36246

HCPCS Procedure Code

HCPCS code 36246 is the #4,931 most-billed Medicaid procedure code, with $350K in payments across 1,544 claims from 2018–2024. The national median cost per claim is $118.81. Costs vary widely — the 90th percentile is $455.71 per claim, 3.8× the median.

Total Paid

$350K

0.00% of all spending

Total Claims

1,544

Providers

20

Avg Cost/Claim

$226

National Cost Distribution

How much do providers bill per claim for 36246? Based on 20 providers billing this code nationally.

Median

$118.81

Average

$188.75

Std Dev

$167.30

Max

$546.89

Percentile Distribution (Cost per Claim)

p10
$35.05
p25
$69.11
Median
$118.81
p75
$286.01
p90
$455.71
p95
$473.45
p99
$532.20

50% of providers bill between $69.11 and $286.01 per claim for this code.

90% bill between $35.05 and $455.71.

Top 1% bill above $532.20.

About This Procedure

HCPCS code 36246 was billed by 20 providers across 1,544 claims, totaling $350K in Medicaid payments from 2018–2024. This code was used for 1,141 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.81

Providers Billing

20

National Spending

$350K

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36246

#ProviderTotal Paid
11558578583$258K
21063526960$16K
31700154226$14K
41336219849$9K
51104875970$9K
6Mount Sinai Hospital

New York, NY · Ambulance

$6K
71982029732$6K
81316923915$6K
91033230347$4K
101649585399$3K
111124450572$3K
121487176004$3K
131487912416$3K
14Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$2K
151932202959$2K
161518954312$2K
171154472785$1K
181023264157$1K
191972547974$655
201013014083$177

Showing top 20 of 20 providers billing this code