HCPCS 36465

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 2.35 (2021 fee schedule)

671
82nd percentile among 6,253 codes billed · 2021
$63M
97th percentile among 6,253 codes billed · 2021
50K
80th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
225
71st percentile among 6,253 codes billed · 2021
+63.1%
Medicare payment on the code vs 2020; billers +42.2% · 2021

Trend

Medicare payment on the code

$0$50M$100M2020: $38M paid20202021: $63M paid20212022: $68M paid20222023: $80M paid20232024: $93M paid2024$93M$0$50M$100M2020: $38M paid20202021: $63M paid20212022: $68M paid20222023: $80M paid20232024: $93M paid2024$93M$0$50M$100M2020: $38M paid20202021: $63M paid20212022: $68M paid20222023: $80M paid20232024: $93M paid2024$93M$0$50M$100M2020: $38M paid20202021: $63M paid20212022: $68M paid20222023: $80M paid20232024: $93M paid2024$93M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05001,0002020: 472 providers20202021: 671 providers20212022: 798 providers20222023: 989 providers20232024: 1,140 providers20241,14005001,0002020: 472 providers20202021: 671 providers20212022: 798 providers20222023: 989 providers20232024: 1,140 providers20241,14005001,0002020: 472 providers20202021: 671 providers20212022: 798 providers20222023: 989 providers20232024: 1,140 providers20241,14005001,0002020: 472 providers20202021: 671 providers20212022: 798 providers20222023: 989 providers20232024: 1,140 providers20241,140

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
20241,140$93,069,548+16%93,422472652.35
2023989$80,490,381+18%76,407432412.35
2022798$67,926,578+8%60,734442322.35
2021671$62,664,557+63%49,855422252.35
2020472$38,414,293first year in data30,621411972.35

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California67$9,204,3716,72263374
Florida86$9,020,6567,54651251
New York54$7,781,4665,20248299
Texas63$4,485,0133,64644135
New Jersey27$3,019,3242,08434360
Arizona33$2,846,7242,40735208
Illinois29$2,668,5002,15641256
Maryland19$2,563,5531,88876225
Tennessee31$2,375,6432,16750172
North Carolina24$1,690,0611,48552185
Virginia13$1,573,2791,22264209
Pennsylvania19$1,483,4561,19737139
Georgia22$1,324,9081,15130178
Ohio13$1,201,1721,12659246
Colorado11$1,125,47186376124

Not listed: 26 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ68$10,313,5876,92052
Los Angeles-Long Beach-Anaheim, CA37$4,395,0833,07253
Washington-Arlington-Alexandria, DC-VA-MD-WV20$2,842,6802,06078
Miami-Fort Lauderdale-West Palm Beach, FL29$2,781,1852,21058
Phoenix-Mesa-Chandler, AZ28$2,687,4782,27941
Chicago-Naperville-Elgin, IL-IN27$2,308,5301,84942
Dallas-Fort Worth-Arlington, TX19$1,455,6701,19534
Houston-Pasadena-The Woodlands, TX19$1,167,98289139
Tampa-St. Petersburg-Clearwater, FL11$859,65473937
Detroit-Warren-Dearborn, MI14$747,32260528
Atlanta-Sandy Springs-Roswell, GA13$491,80439929

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 36465 nationally

Vascular Surgery accounts for 23% of payment for 36465 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery14822%$14,554,47523%11,43777
General Surgery12418%$11,726,52919%9,54977
Cardiology9714%$8,131,17813%6,53067
Diagnostic Radiology416.1%$4,393,0237.0%3,38583
Interventional Radiology446.6%$4,326,6146.9%3,19973
Internal Medicine385.7%$3,968,4066.3%3,15483
Family Practice395.8%$3,132,8155.0%2,61867
Emergency Medicine172.5%$2,372,5383.8%1,843108
Thoracic Surgery213.1%$1,904,9333.0%1,55574
Interventional Cardiology355.2%$1,604,9802.6%1,32238

Not listed: 23 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2021.

Top billers of 36465 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations