36555
HCPCS Procedure Code
HCPCS code 36555 is the #7,968 most-billed Medicaid procedure code, with $8K in payments across 197 claims from 2018–2024. The national median cost per claim is $49.44. Costs vary widely — the 90th percentile is $139.02 per claim, 2.8× the median.
Total Paid
$8K
0.00% of all spending
Total Claims
197
Providers
7
Avg Cost/Claim
$40
National Cost Distribution
How much do providers bill per claim for 36555? Based on 5 providers billing this code nationally.
Median
$49.44
Average
$79.19
Std Dev
$54.57
Max
$144.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.53 and $130.16 per claim for this code.
90% bill between $33.16 and $139.02.
Top 1% bill above $144.33.
About This Procedure
HCPCS code 36555 was billed by 7 providers across 197 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 163 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.44
Providers Billing
5
National Spending
$8K
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36555
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $3K |
| 2 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $2K |
| 3 | 1497791297 | $2K |
| 4 | 1811073273 | $733 |
| 5 | 1225016926 | $582 |
| 6 | 1487865184 | $0 |
| 7 | 1699986331 | $0 |
Showing top 7 of 7 providers billing this code