36455
HCPCS Procedure Code
HCPCS code 36455 is the #3,068 most-billed Medicaid procedure code, with $2.6M in payments across 9K claims from 2018–2024. The national median cost per claim is $169.30. Costs vary widely — the 90th percentile is $365.02 per claim, 2.2× the median.
Total Paid
$2.6M
0.00% of all spending
Total Claims
9K
Providers
7
Avg Cost/Claim
$275
National Cost Distribution
How much do providers bill per claim for 36455? Based on 7 providers billing this code nationally.
Median
$169.30
Average
$183.80
Std Dev
$150.05
Max
$435.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $70.37 and $260.98 per claim for this code.
90% bill between $48.43 and $365.02.
Top 1% bill above $428.77.
About This Procedure
HCPCS code 36455 was billed by 7 providers across 9K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$169.30
Providers Billing
7
National Spending
$2.6M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36455
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $1.4M |
| 2 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $908K |
| 3 | 1043218944 | $213K |
| 4 | 1811920549 | $48K |
| 5 | 1154435824 | $7K |
| 6 | 1588663769 | $6K |
| 7 | 1033143904 | $4K |
Showing top 7 of 7 providers billing this code