HCPCS 36475

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

Procedures Work RVU per service 5.30 (2022 fee schedule)

1,239
87th percentile among 6,326 codes billed · 2022
$60M
96th percentile among 6,326 codes billed · 2022
68K
83rd percentile among 6,326 codes billed · 2022
33
63rd percentile among 6,326 codes billed · 2022
172
66th percentile among 6,326 codes billed · 2022
-19.5%
Medicare payment on the code vs 2021; billers -2.3% · 2022

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
Texas148$9,212,85610,53936234
Florida161$8,322,6559,40531195
California127$6,967,7487,02235171
Arizona56$3,283,0343,79838271
Maryland34$2,915,3683,06169189
New York72$2,532,3662,4692398
New Jersey48$2,420,0942,36531119
Georgia54$2,192,3852,55033118
Connecticut34$1,832,3141,84842109
Virginia37$1,814,6492,08328173
Tennessee32$1,749,6162,24939158
North Carolina37$1,648,9651,98840141
Illinois33$1,547,9811,72143137
Michigan31$1,276,0631,51833118
Colorado20$1,069,7521,19636194

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ91$3,923,1543,71226
Houston-Pasadena-The Woodlands, TX47$3,489,2313,87239
Los Angeles-Long Beach-Anaheim, CA46$3,360,7603,34036
Dallas-Fort Worth-Arlington, TX49$3,074,2653,49533
Phoenix-Mesa-Chandler, AZ43$2,935,2583,38342
Washington-Arlington-Alexandria, DC-VA-MD-WV38$2,526,9502,53642
Miami-Fort Lauderdale-West Palm Beach, FL37$1,647,5701,78832
Chicago-Naperville-Elgin, IL-IN32$1,511,8021,69838
Tampa-St. Petersburg-Clearwater, FL23$1,474,4221,67837
Atlanta-Sandy Springs-Roswell, GA27$1,248,2511,38237
Baltimore-Columbia-Towson, MD12$1,233,4861,33477
Bridgeport-Stamford-Danbury, CT15$905,52991744
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD25$889,03692231
Jacksonville, FL18$826,92896049
Detroit-Warren-Dearborn, MI20$811,56095231

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 22 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 36475 nationally

Vascular Surgery accounts for 32% of payment for 36475 nationally in 2022, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery40733%$18,995,38832%21,46153
General Surgery16613%$9,721,23916%11,10067
Cardiology20416%$7,684,18213%8,77243
Interventional Cardiology1189.5%$3,983,7206.6%4,81441
Diagnostic Radiology463.7%$3,416,6975.7%3,90185
Interventional Radiology534.3%$3,273,6035.5%3,69870
Family Practice433.5%$2,394,7414.0%2,66662
Emergency Medicine221.8%$1,880,7883.1%2,02592
Internal Medicine453.6%$1,784,1843.0%2,06646
Thoracic Surgery201.6%$1,127,0601.9%1,28964
Cardiac Surgery141.1%$822,9711.4%90565
Ambulatory Surgical Center141.1%$566,4890.94%49836
Physician Assistant120.97%$328,4570.55%42135
Nurse Practitioner110.89%$315,4860.53%42739

Not listed: 16 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 2022.

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