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#1511 of 11K

36512

HCPCS Procedure Code

HCPCS code 36512 is the #1,511 most-billed Medicaid procedure code, with $20.8M in payments across 46K claims from 2018–2024. The national median cost per claim is $118.48. Costs vary widely — the 90th percentile is $1,431.25 per claim, 12.1× the median.

Total Paid

$20.8M

0.00% of all spending

Total Claims

46K

Providers

63

Avg Cost/Claim

$456

National Cost Distribution

How much do providers bill per claim for 36512? Based on 62 providers billing this code nationally.

Median

$118.48

Average

$509.86

Std Dev

$727.07

Max

$3,096.77

Percentile Distribution (Cost per Claim)

p10
$35.46
p25
$55.25
Median
$118.48
p75
$571.51
p90
$1,431.25
p95
$1,980.34
p99
$3,038.24

50% of providers bill between $55.25 and $571.51 per claim for this code.

90% bill between $35.46 and $1,431.25.

Top 1% bill above $3,038.24.

About This Procedure

HCPCS code 36512 was billed by 63 providers across 46K claims, totaling $20.8M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.48

Providers Billing

62

National Spending

$20.8M

Avg/Median Ratio

4.30×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 36512

#ProviderTotal Paid
1Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$3.4M
21427360700$2.0M
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.5M
4Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$1.2M
5Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$1.2M
6State Of Connecticut

Farmington, CT · Counselor, Professional

$1.1M
7Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$953K
8Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$913K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$890K
101356307581$783K
11Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$738K
12Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$669K
13Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$634K
141578597993$609K
15University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$574K
161437119310$558K
17Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$534K
18Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$344K
191316900277$235K
201144213117$207K

Showing top 20 of 63 providers billing this code