36581
HCPCS Procedure Code
HCPCS code 36581 is the #3,764 most-billed Medicaid procedure code, with $1.2M in payments across 6K claims from 2018–2024. The national median cost per claim is $106.31. Costs vary widely — the 90th percentile is $402.80 per claim, 3.8× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
6K
Providers
49
Avg Cost/Claim
$202
National Cost Distribution
How much do providers bill per claim for 36581? Based on 46 providers billing this code nationally.
Median
$106.31
Average
$176.23
Std Dev
$181.04
Max
$818.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.37 and $214.65 per claim for this code.
90% bill between $38.08 and $402.80.
Top 1% bill above $747.48.
About This Procedure
HCPCS code 36581 was billed by 49 providers across 6K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$106.31
Providers Billing
46
National Spending
$1.2M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 36581
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346469731 | $456K |
| 2 | 1427577840 | $145K |
| 3 | 1720509722 | $72K |
| 4 | 1578088787 | $60K |
| 5 | 1982893483 | $55K |
| 6 | 1336649714 | $49K |
| 7 | 1154873594 | $43K |
| 8 | 1831130723 | $41K |
| 9 | 1982631222 | $27K |
| 10 | 1780676650 | $27K |
| 11 | 1346734365 | $24K |
| 12 | 1679769434 | $23K |
| 13 | 1487171575 | $21K |
| 14 | 1063487627 | $20K |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $16K |
| 16 | 1780140772 | $14K |
| 17 | 1689175333 | $13K |
| 18 | 1790237501 | $11K |
| 19 | 1255894051 | $8K |
| 20 | 1922531268 | $8K |
Showing top 20 of 49 providers billing this code