HCPCS 36475

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

Procedures Work RVU per service 5.30 (2024 fee schedule)

1,223
88th percentile among 6,471 codes billed · 2024
$57M
96th percentile among 6,471 codes billed · 2024
70K
83rd percentile among 6,471 codes billed · 2024
35
63rd percentile among 6,471 codes billed · 2024
175
65th percentile among 6,471 codes billed · 2024
+2.8%
Medicare payment on the code vs 2023; billers +0.2% · 2024

Trend

Medicare payment on the code

$0$50M2020: $71M paid20202021: $75M paid20212022: $60M paid20222023: $55M paid20232024: $57M paid2024$57M$0$50M2020: $71M paid20202021: $75M paid20212022: $60M paid20222023: $55M paid20232024: $57M paid2024$57M$0$50M2020: $71M paid20202021: $75M paid20212022: $60M paid20222023: $55M paid20232024: $57M paid2024$57M$0$50M2020: $71M paid20202021: $75M paid20212022: $60M paid20222023: $55M paid20232024: $57M paid2024$57M

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

Billers

05001,0002020: 1,187 providers20202021: 1,268 providers20212022: 1,239 providers20222023: 1,221 providers20232024: 1,223 providers20241,22305001,0002020: 1,187 providers20202021: 1,268 providers20212022: 1,239 providers20222023: 1,221 providers20232024: 1,223 providers20241,22305001,0002020: 1,187 providers20202021: 1,268 providers20212022: 1,239 providers20222023: 1,221 providers20232024: 1,223 providers20241,22305001,0002020: 1,187 providers20202021: 1,268 providers20212022: 1,239 providers20222023: 1,221 providers20232024: 1,223 providers20241,223

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
20241,223$56,616,361+3%70,433351755.30
20231,221$55,061,691-8%65,771331665.30
20221,239$60,047,655-20%68,240331725.30
20211,268$74,638,104+5%73,407331935.30
20201,187$71,375,612first year in data66,515341775.30

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
Texas144$9,343,76411,98945288
California133$7,563,0688,23338206
Florida158$7,387,2599,20532179
Arizona58$3,498,8474,43741244
New York77$3,187,4443,53632122
New Jersey57$2,837,5913,11330153
Maryland37$2,231,1152,61441202
Tennessee39$1,979,0732,74736167
Georgia46$1,666,8642,11127101
Connecticut34$1,482,1321,62137116
North Carolina39$1,479,0031,99832156
Illinois35$1,418,8021,79633139
Virginia39$1,289,4031,6862497
Ohio29$1,228,7431,72543146
Michigan32$1,029,2721,3493680

Not listed: 25 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ107$4,796,9825,24733
Los Angeles-Long Beach-Anaheim, CA51$3,911,4274,27751
Dallas-Fort Worth-Arlington, TX44$3,589,0454,66352
Phoenix-Mesa-Chandler, AZ45$3,107,2753,94755
Houston-Pasadena-The Woodlands, TX51$2,857,1213,52946
Washington-Arlington-Alexandria, DC-VA-MD-WV42$1,957,9712,28440
Chicago-Naperville-Elgin, IL-IN34$1,390,1031,77733
Miami-Fort Lauderdale-West Palm Beach, FL32$1,168,7391,35631
Tampa-St. Petersburg-Clearwater, FL20$1,158,6521,45644
Atlanta-Sandy Springs-Roswell, GA30$1,081,8531,33731
Austin-Round Rock-San Marcos, TX15$1,003,6311,18936
San Francisco-Oakland-Fremont, CA14$992,61487527
Baltimore-Columbia-Towson, MD12$861,1211,01546
Orlando-Kissimmee-Sanford, FL24$841,9291,08630
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD23$714,05383924

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 21 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 36475 nationally

Vascular Surgery accounts for 31% of payment for 36475 nationally in 2024, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery42535%$17,741,61631%22,08252
General Surgery16413%$9,302,68116%11,77772
Cardiology18815%$6,990,41612%8,78547
Interventional Cardiology1048.5%$3,426,7246.1%4,53044
Interventional Radiology524.3%$3,097,5755.5%4,07878
Diagnostic Radiology463.8%$3,008,3415.3%3,80283
Family Practice433.5%$2,034,4773.6%2,65062
Internal Medicine302.5%$1,810,3793.2%2,03568
Emergency Medicine262.1%$1,488,6132.6%1,75568
Ambulatory Surgical Center211.7%$1,488,5052.6%1,20057
Cardiac Surgery141.1%$926,5991.6%1,13081
Thoracic Surgery181.5%$752,2821.3%93652
General Practice110.90%$746,5531.3%90682
Physician Assistant161.3%$584,9191.0%80650
Nurse Practitioner110.90%$256,1320.45%37634

Not listed: 15 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 2024.

Top billers of 36475 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