36247
HCPCS Procedure Code
HCPCS code 36247 is the #4,124 most-billed Medicaid procedure code, with $829K in payments across 3,818 claims from 2018–2024. The national median cost per claim is $128.55. Costs vary widely — the 90th percentile is $635.21 per claim, 4.9× the median.
Total Paid
$829K
0.00% of all spending
Total Claims
3,818
Providers
36
Avg Cost/Claim
$217
National Cost Distribution
How much do providers bill per claim for 36247? Based on 33 providers billing this code nationally.
Median
$128.55
Average
$295.90
Std Dev
$372.55
Max
$1,697.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $47.04 and $448.26 per claim for this code.
90% bill between $15.15 and $635.21.
Top 1% bill above $1,513.56.
About This Procedure
HCPCS code 36247 was billed by 36 providers across 3,818 claims, totaling $829K in Medicaid payments from 2018–2024. This code was used for 2,968 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.55
Providers Billing
33
National Spending
$829K
Avg/Median Ratio
2.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 36247
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811939465 | $120K |
| 2 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $108K |
| 3 | University Of Washington Seattle, WA · Clinic/Center, Dental | $102K |
| 4 | 1568803047 | $62K |
| 5 | 1083680003 | $53K |
| 6 | 1598792632 | $48K |
| 7 | 1962731745 | $47K |
| 8 | 1326487513 | $38K |
| 9 | 1235411349 | $37K |
| 10 | 1922070457 | $33K |
| 11 | 1336219849 | $27K |
| 12 | 1982115457 | $22K |
| 13 | 1003298340 | $19K |
| 14 | 1033230347 | $17K |
| 15 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $15K |
| 16 | 1316580996 | $13K |
| 17 | 1063926962 | $11K |
| 18 | 1255899704 | $11K |
| 19 | 1235645607 | $10K |
| 20 | 1275083511 | $9K |
Showing top 20 of 36 providers billing this code