81236
HCPCS Procedure Code
HCPCS code 81236 is the #4,466 most-billed Medicaid procedure code, with $571K in payments across 13K claims from 2018–2024. The national median cost per claim is $44.71. Costs vary widely — the 90th percentile is $171.09 per claim, 3.8× the median.
Total Paid
$571K
0.00% of all spending
Total Claims
13K
Providers
15
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 81236? Based on 12 providers billing this code nationally.
Median
$44.71
Average
$72.61
Std Dev
$66.05
Max
$201.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.40 and $112.59 per claim for this code.
90% bill between $13.32 and $171.09.
Top 1% bill above $199.21.
About This Procedure
HCPCS code 81236 was billed by 15 providers across 13K claims, totaling $571K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.71
Providers Billing
12
National Spending
$571K
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 81236
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013973866 | $325K |
| 2 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $198K |
| 3 | 1639577091 | $20K |
| 4 | 1457977209 | $10K |
| 5 | 1447843750 | $8K |
| 6 | 1548611593 | $3K |
| 7 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $2K |
| 8 | 1629109137 | $2K |
| 9 | 1528653334 | $1K |
| 10 | 1275292294 | $1K |
| 11 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $1K |
| 12 | 1932843836 | $11 |
| 13 | 1013525286 | $0 |
| 14 | 1881334290 | $0 |
| 15 | 1760189898 | $0 |
Showing top 15 of 15 providers billing this code