36558
HCPCS Procedure Code
HCPCS code 36558 is the #3,900 most-billed Medicaid procedure code, with $1.0M in payments across 9K claims from 2018–2024. The national median cost per claim is $112.94. Costs vary widely — the 90th percentile is $267.03 per claim, 2.4× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
9K
Providers
88
Avg Cost/Claim
$119
National Cost Distribution
How much do providers bill per claim for 36558? Based on 84 providers billing this code nationally.
Median
$112.94
Average
$153.82
Std Dev
$176.45
Max
$1,435.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $81.31 and $156.68 per claim for this code.
90% bill between $42.96 and $267.03.
Top 1% bill above $720.05.
About This Procedure
HCPCS code 36558 was billed by 88 providers across 9K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$112.94
Providers Billing
84
National Spending
$1.0M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36558
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740283324 | $163K |
| 2 | 1376719666 | $106K |
| 3 | 1912956814 | $74K |
| 4 | 1174624712 | $74K |
| 5 | 1336192665 | $59K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $49K |
| 7 | 1679529978 | $48K |
| 8 | 1407805203 | $44K |
| 9 | 1346469731 | $24K |
| 10 | 1326450156 | $23K |
| 11 | 1487608931 | $20K |
| 12 | 1093796609 | $19K |
| 13 | 1073827101 | $17K |
| 14 | 1609847367 | $16K |
| 15 | 1881670248 | $15K |
| 16 | 1154367803 | $14K |
| 17 | 1750751566 | $12K |
| 18 | 1801840434 | $11K |
| 19 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $11K |
| 20 | 1669423265 | $10K |
Showing top 20 of 88 providers billing this code