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#180 of 11K

36415

Collection of venous blood by venipuncture

Collection of venous blood by venipuncture is the #180 most-billed Medicaid procedure code, with $935.8M in payments across 225.0M claims from 2018–2024. The national median cost per claim is $1.57. Costs vary widely — the 90th percentile is $5.06 per claim, 3.2× the median.

Total Paid

$935.8M

0.09% of all spending

Total Claims

225.0M

Providers

34K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 36415? Based on 29K providers billing this code nationally.

Median

$1.57

Average

$3.56

Std Dev

$21.07

Max

$2,623.32

Percentile Distribution (Cost per Claim)

p10
$0.11
p25
$0.54
Median
$1.57
p75
$2.63
p90
$5.06
p95
$8.49
p99
$44.81

50% of providers bill between $0.54 and $2.63 per claim for this code.

90% bill between $0.11 and $5.06.

Top 1% bill above $44.81.

About This Procedure

HCPCS code 36415 (Collection of venous blood by venipuncture) was billed by 34K providers across 225.0M claims, totaling $935.8M in Medicaid payments from 2018–2024. This code was used for 181.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.57

Providers Billing

29K

National Spending

$935.8M

Avg/Median Ratio

2.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 36415

#ProviderTotal Paid
1Florida Cancer Specialists & Research Institute Llc

Cape Coral, FL · Internal Medicine Medical Oncology

$20.0M
21699756221$16.7M
3University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$13.7M
4Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$13.2M
51972541498$13.1M
61467448498$9.2M
71407301211$8.2M
8Jamaica Hospital

Richmond Hill, NY · General Acute Care Hospital

$8.2M
91467560599$7.8M
101154373843$7.4M
11New York City Health And Hospitals Corporation

Jamaica, NY · General Acute Care Hospital

$7.1M
12Lexington Health Inc

West Columbia, SC · General Acute Care Hospital

$6.8M
131487699047$6.7M
141649726738$6.5M
151417919531$6.3M
16Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$6.1M
171356389878$6.1M
18Spartanburg Medical Center

Spartanburg, SC · Ambulance

$6.0M
19Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$6.0M
201487868097$5.7M

Showing top 20 of 34K providers billing this code