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#1609 of 11K

36591

HCPCS Procedure Code

HCPCS code 36591 is the #1,609 most-billed Medicaid procedure code, with $17.9M in payments across 945K claims from 2018–2024. The national median cost per claim is $11.16. Costs vary widely — the 90th percentile is $52.89 per claim, 4.7× the median.

Total Paid

$17.9M

0.00% of all spending

Total Claims

945K

Providers

643

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 36591? Based on 582 providers billing this code nationally.

Median

$11.16

Average

$21.33

Std Dev

$32.35

Max

$424.99

Percentile Distribution (Cost per Claim)

p10
$1.11
p25
$3.86
Median
$11.16
p75
$28.08
p90
$52.89
p95
$67.68
p99
$134.89

50% of providers bill between $3.86 and $28.08 per claim for this code.

90% bill between $1.11 and $52.89.

Top 1% bill above $134.89.

About This Procedure

HCPCS code 36591 was billed by 643 providers across 945K claims, totaling $17.9M in Medicaid payments from 2018–2024. This code was used for 547K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.16

Providers Billing

582

National Spending

$17.9M

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36591

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.2M
2Community Health Network, Inc

Indianapolis, IN · General Acute Care Hospital

$1.1M
3Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$936K
4Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$716K
5Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$610K
6St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$450K
7Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$411K
8Temple University Hospital Inc

Philadelphia, PA · General Acute Care Hospital

$381K
9Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$325K
101366407603$312K
11Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$293K
12Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$276K
131164493847$262K
14Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$257K
151023418035$239K
161780653618$238K
17Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$235K
18Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$196K
19Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$185K
20Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$181K

Showing top 20 of 643 providers billing this code