HCPCS 36475

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

Procedures Work RVU per service 5.30 (2023 fee schedule)

1,221
88th percentile among 6,405 codes billed · 2023
$55M
96th percentile among 6,405 codes billed · 2023
66K
82nd percentile among 6,405 codes billed · 2023
33
62nd percentile among 6,405 codes billed · 2023
166
65th percentile among 6,405 codes billed · 2023
-8.3%
Medicare payment on the code vs 2022; billers -1.5% · 2023

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
Texas136$8,756,28110,64547231
Florida155$7,915,4349,38935231
California134$7,088,7747,52531167
Arizona57$3,235,7173,92448218
New York81$3,009,7303,15825104
New Jersey51$2,576,8212,66129123
Maryland34$2,234,9952,47549188
Tennessee37$1,833,4452,43039157
Georgia49$1,833,2992,24831123
Illinois35$1,611,4011,89538136
Connecticut38$1,502,2281,61436101
North Carolina41$1,404,0951,82226129
Virginia30$1,185,3811,42630116
Michigan33$944,7381,2152791
Ohio25$870,1761,24244152

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ106$4,403,1844,50229
Los Angeles-Long Beach-Anaheim, CA49$3,605,9173,81935
Dallas-Fort Worth-Arlington, TX46$2,949,6213,59944
Phoenix-Mesa-Chandler, AZ48$2,944,7333,55550
Houston-Pasadena-The Woodlands, TX46$2,912,4693,40252
Washington-Arlington-Alexandria, DC-VA-MD-WV37$1,986,9602,11336
Chicago-Naperville-Elgin, IL-IN36$1,502,1031,82036
Miami-Fort Lauderdale-West Palm Beach, FL34$1,446,3541,60633
Tampa-St. Petersburg-Clearwater, FL24$1,319,0791,57729
Atlanta-Sandy Springs-Roswell, GA29$1,077,5361,27033
Baltimore-Columbia-Towson, MD14$1,011,5321,14433
Jacksonville, FL17$832,6591,00450
Orlando-Kissimmee-Sanford, FL19$722,51390329
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD21$650,88070627
Bridgeport-Stamford-Danbury, CT16$642,43169036

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 2023.

Specialties billing 36475 nationally

Vascular Surgery accounts for 34% of payment for 36475 nationally in 2023, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery41234%$18,451,32934%21,68253
General Surgery17414%$9,647,84718%11,67367
Cardiology18415%$6,689,83312%7,95443
Interventional Radiology625.1%$3,025,2725.5%3,62258
Diagnostic Radiology473.8%$2,990,0535.4%3,69079
Interventional Cardiology1028.4%$2,971,2085.4%3,93839
Family Practice393.2%$1,610,6932.9%2,00151
Internal Medicine312.5%$1,503,6202.7%1,77357
Emergency Medicine262.1%$1,288,9842.3%1,44255
Thoracic Surgery151.2%$1,159,0942.1%1,34790
Ambulatory Surgical Center131.1%$714,2651.3%60346
Cardiac Surgery161.3%$656,6561.2%79850
Physician Assistant221.8%$513,2410.93%69732
Nurse Practitioner181.5%$269,1190.49%40723

Not listed: 17 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 2023.

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