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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558578583 | $258K |
| 2 | 1063526960 | $16K |
| 3 | 1700154226 | $14K |
| 4 | 1336219849 | $9K |
| 5 | 1104875970 | $9K |
| 6 | Mount Sinai Hospital New York, NY · Ambulance | $6K |
| 7 | 1982029732 | $6K |
| 8 | 1316923915 | $6K |
| 9 | 1033230347 | $4K |
| 10 | 1649585399 | $3K |
| 11 | 1124450572 | $3K |
| 12 | 1487176004 | $3K |
| 13 | 1487912416 | $3K |
| 14 | Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology | $2K |
| 15 | 1932202959 | $2K |
| 16 | 1518954312 | $2K |
| 17 | 1154472785 | $1K |
| 18 | 1023264157 | $1K |
| 19 | 1972547974 | $655 |
| 20 | 1013014083 | $177 |
Showing top 20 of 20 providers billing this code