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#5080 of 11K

36514

HCPCS Procedure Code

HCPCS code 36514 is the #5,080 most-billed Medicaid procedure code, with $300K in payments across 6K claims from 2018–2024. The national median cost per claim is $39.76. Costs vary widely — the 90th percentile is $667.68 per claim, 16.8× the median.

Total Paid

$300K

0.00% of all spending

Total Claims

6K

Providers

10

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for 36514? Based on 8 providers billing this code nationally.

Median

$39.76

Average

$215.15

Std Dev

$330.92

Max

$888.68

Percentile Distribution (Cost per Claim)

p10
$15.86
p25
$27.70
Median
$39.76
p75
$232.48
p90
$667.68
p95
$778.18
p99
$866.58

50% of providers bill between $27.70 and $232.48 per claim for this code.

90% bill between $15.86 and $667.68.

Top 1% bill above $866.58.

About This Procedure

HCPCS code 36514 was billed by 10 providers across 6K claims, totaling $300K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.76

Providers Billing

8

National Spending

$300K

Avg/Median Ratio

5.41×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 36514

#ProviderTotal Paid
11154481984$104K
21548545841$88K
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$60K
41659431443$35K
51225087190$12K
61508890468$977
71760434286$592
81487716304$327
91144213117$0
101134166556$0

Showing top 10 of 10 providers billing this code