HCPCS 36475

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

Procedures Work RVU per service 5.30 (2020 fee schedule)

1,187
87th percentile among 6,116 codes billed · 2020
$71M
97th percentile among 6,116 codes billed · 2020
67K
83rd percentile among 6,116 codes billed · 2020
34
65th percentile among 6,116 codes billed · 2020
177
67th percentile among 6,116 codes billed · 2020

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
Texas142$10,324,2729,47740214
Florida144$9,526,1918,78536188
California105$6,488,4845,22934156
Arizona55$5,039,9274,79346337
Georgia59$3,529,2163,31538173
Maryland36$3,475,5182,85550206
New York60$2,669,2982,1022777
New Jersey40$2,538,5102,08333167
Illinois41$2,325,5042,11131133
Tennessee34$2,303,1352,35931234
Virginia33$2,070,8261,94836168
North Carolina38$2,001,3761,98737119
Connecticut33$1,892,9061,5584296
Michigan45$1,873,6811,7862893
Nevada14$1,867,4091,66438555

Not listed: 23 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 2020.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ34$4,199,6513,98963
New York-Newark-Jersey City, NY-NJ73$4,044,8153,15431
Houston-Pasadena-The Woodlands, TX42$3,322,4182,97645
Washington-Arlington-Alexandria, DC-VA-MD-WV35$2,784,8852,25346
Dallas-Fort Worth-Arlington, TX36$2,453,1062,29437
Los Angeles-Long Beach-Anaheim, CA36$2,430,1271,95336
Chicago-Naperville-Elgin, IL-IN41$2,243,8922,04330
Atlanta-Sandy Springs-Roswell, GA35$2,034,8021,83736
Tampa-St. Petersburg-Clearwater, FL22$1,680,4891,55445
Miami-Fort Lauderdale-West Palm Beach, FL32$1,644,1431,41532
Baltimore-Columbia-Towson, MD13$1,554,1141,28468
Las Vegas-Henderson-North Las Vegas, NV13$1,392,7431,25336
Jacksonville, FL19$1,286,3311,31038
Detroit-Warren-Dearborn, MI28$1,259,0111,16227
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD19$1,037,80889532

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 36475 nationally

Vascular Surgery accounts for 26% of payment for 36475 nationally in 2020, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery35130%$18,815,49426%17,33949
General Surgery17014%$12,479,22217%11,66769
Cardiology25722%$12,316,12417%11,62045
Interventional Cardiology988.3%$5,568,3387.8%5,27854
Interventional Radiology423.5%$3,632,6715.1%3,26978
Diagnostic Radiology463.9%$3,306,5514.6%3,10568
Family Practice443.7%$3,115,1184.4%2,88866
Internal Medicine443.7%$2,176,3843.0%2,06947
Emergency Medicine231.9%$1,912,9762.7%1,69974
General Practice131.1%$1,729,1542.4%1,457112
Thoracic Surgery201.7%$1,617,6202.3%1,54677
Cardiac Surgery141.2%$1,008,3561.4%93667
Ambulatory Surgical Center110.93%$332,9840.47%30127

Not listed: 18 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 2020.

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