HCPCS 36475
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 5.30 (2021 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 1,223 | $56,616,361 | +3% | 70,433 | 35 | 175 | 5.30 |
| 2023 | 1,221 | $55,061,691 | -8% (2023 changed hospital and observation visit codes) | 65,771 | 33 | 166 | 5.30 |
| 2022 | 1,239 | $60,047,655 | -20% | 68,240 | 33 | 172 | 5.30 |
| 2021 | 1,268 | $74,638,104 | – (Not compared: 2021 changed office visit values) | 73,407 | 33 | 193 | 5.30 |
| 2020 | 1,187 | $71,375,612 | first year in data | 66,515 | 34 | 177 | 5.30 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 180 | $11,630,388 | 11,408 | 33 | 234 | |
| Texas | 148 | $10,919,564 | 10,661 | 38 | 227 | |
| California | 122 | $7,748,803 | 6,705 | 32 | 195 | |
| Arizona | 53 | $4,105,720 | 4,128 | 56 | 246 | |
| New York | 72 | $3,264,852 | 2,657 | 28 | 92 | |
| Maryland | 31 | $3,123,306 | 2,714 | 58 | 199 | |
| New Jersey | 48 | $2,971,514 | 2,523 | 30 | 184 | |
| Georgia | 51 | $2,584,598 | 2,621 | 37 | 144 | |
| Tennessee | 38 | $2,415,467 | 2,640 | 28 | 253 | |
| North Carolina | 42 | $2,415,413 | 2,522 | 40 | 165 | |
| Connecticut | 37 | $2,224,547 | 1,953 | 35 | 120 | |
| Virginia | 35 | $2,087,343 | 2,094 | 30 | 175 | |
| Illinois | 40 | $2,046,158 | 2,039 | 32 | 123 | |
| Colorado | 21 | $1,735,418 | 1,684 | 49 | 212 | |
| Michigan | 36 | $1,633,478 | 1,662 | 34 | 103 |
Not listed: 24 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-NJ | 92 | $5,023,048 | 4,071 | 30 | |
| Dallas-Fort Worth-Arlington, TX | 44 | $3,673,231 | 3,538 | 43 | |
| Houston-Pasadena-The Woodlands, TX | 44 | $3,656,383 | 3,469 | 46 | |
| Phoenix-Mesa-Chandler, AZ | 36 | $3,602,082 | 3,619 | 77 | |
| Los Angeles-Long Beach-Anaheim, CA | 44 | $3,390,511 | 2,902 | 33 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 36 | $2,879,837 | 2,433 | 52 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 42 | $2,627,759 | 2,488 | 35 | |
| Tampa-St. Petersburg-Clearwater, FL | 25 | $2,156,757 | 2,139 | 35 | |
| Chicago-Naperville-Elgin, IL-IN | 38 | $1,988,898 | 1,981 | 31 | |
| Atlanta-Sandy Springs-Roswell, GA | 30 | $1,500,865 | 1,456 | 41 | |
| Jacksonville, FL | 19 | $1,197,537 | 1,246 | 59 | |
| Bridgeport-Stamford-Danbury, CT | 17 | $1,164,903 | 1,025 | 26 | |
| Detroit-Warren-Dearborn, MI | 25 | $1,150,131 | 1,146 | 30 | |
| Las Vegas-Henderson-North Las Vegas, NV | 11 | $1,120,034 | 1,059 | 31 | |
| San Francisco-Oakland-Fremont, CA | 12 | $971,845 | 731 | 33 |
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 2021.
Specialties billing 36475 nationally
Vascular Surgery accounts for 28% of payment for 36475 nationally in 2021, across 14 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Vascular Surgery | 380 | 30% | $21,009,610 | 28% | 20,334 | 54 |
| General Surgery | 180 | 14% | $12,911,405 | 17% | 12,729 | 71 |
| Cardiology | 245 | 19% | $11,577,284 | 16% | 11,556 | 47 |
| Interventional Cardiology | 108 | 8.5% | $4,773,840 | 6.4% | 4,937 | 46 |
| Interventional Radiology | 54 | 4.3% | $3,717,839 | 5.0% | 3,621 | 67 |
| Diagnostic Radiology | 47 | 3.7% | $3,626,084 | 4.9% | 3,568 | 76 |
| Family Practice | 44 | 3.5% | $3,021,062 | 4.0% | 2,974 | 68 |
| Emergency Medicine | 23 | 1.8% | $2,521,708 | 3.4% | 2,360 | 103 |
| Internal Medicine | 48 | 3.8% | $2,373,277 | 3.2% | 2,376 | 50 |
| Thoracic Surgery | 25 | 2.0% | $1,853,197 | 2.5% | 1,814 | 73 |
| General Practice | 12 | 0.95% | $1,616,276 | 2.2% | 1,419 | 118 |
| Cardiac Surgery | 15 | 1.2% | $1,227,011 | 1.6% | 1,226 | 82 |
| Ambulatory Surgical Center | 16 | 1.3% | $547,989 | 0.73% | 515 | 32 |
| Physician Assistant | 11 | 0.87% | $493,983 | 0.66% | 531 | 48 |
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 2021.
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