HCPCS 36902

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

Procedures Work RVU per service 4.83 (2021 fee schedule)

2,076
90th percentile among 6,253 codes billed · 2021
$132M
98th percentile among 6,253 codes billed · 2021
156K
87th percentile among 6,253 codes billed · 2021
30
59th percentile among 6,253 codes billed · 2021
325
76th percentile among 6,253 codes billed · 2021
-21.3%
Medicare payment on the code vs 2020; billers -11.6% · 2021

Trend

Medicare payment on the code

$0$100M2020: $167M paid20202021: $132M paid20212022: $110M paid20222023: $103M paid20232024: $103M paid2024$103M$0$100M2020: $167M paid20202021: $132M paid20212022: $110M paid20222023: $103M paid20232024: $103M paid2024$103M$0$100M2020: $167M paid20202021: $132M paid20212022: $110M paid20222023: $103M paid20232024: $103M paid2024$103M$0$100M2020: $167M paid20202021: $132M paid20212022: $110M paid20222023: $103M paid20232024: $103M paid2024$103M

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

Billers

01,0002,0002020: 2,348 providers20202021: 2,076 providers20212022: 1,801 providers20222023: 1,666 providers20232024: 1,581 providers20241,58101,0002,0002020: 2,348 providers20202021: 2,076 providers20212022: 1,801 providers20222023: 1,666 providers20232024: 1,581 providers20241,58101,0002,0002020: 2,348 providers20202021: 2,076 providers20212022: 1,801 providers20222023: 1,666 providers20232024: 1,581 providers20241,58101,0002,0002020: 2,348 providers20202021: 2,076 providers20212022: 1,801 providers20222023: 1,666 providers20232024: 1,581 providers20241,581

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
20241,581$102,519,108-0%112,761312694.83
20231,666$102,949,839-6%119,961312814.83
20221,801$109,989,545-16%131,337312954.83
20212,076$131,528,357-21%155,726303254.83
20202,348$167,064,444first year in data200,033323724.83

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
New York146$15,261,90013,72135348
Texas167$14,327,20016,26141337
California186$13,233,93813,29233311
New Jersey72$8,739,9068,33050502
Florida122$8,144,1499,83428366
Illinois101$6,698,0087,21427198
Virginia72$6,054,3996,45525423
Pennsylvania82$4,911,0565,92227238
Michigan70$4,289,4984,99046198
Georgia96$4,134,4366,87731320
North Carolina60$4,107,0685,21745283
Maryland49$4,062,2554,35729394
Nevada17$3,667,2423,783173717
Indiana51$3,570,5964,51921531
Ohio62$3,447,9734,28338218

Not listed: 19 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-NJ146$21,382,94018,53662
Chicago-Naperville-Elgin, IL-IN86$6,454,3936,74230
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD54$5,483,4695,80550
Los Angeles-Long Beach-Anaheim, CA57$5,228,3155,10530
Washington-Arlington-Alexandria, DC-VA-MD-WV29$4,358,0744,33635
Dallas-Fort Worth-Arlington, TX40$3,710,4033,96829
Houston-Pasadena-The Woodlands, TX39$3,433,7154,30865
Phoenix-Mesa-Chandler, AZ18$2,599,0732,97181
San Antonio-New Braunfels, TX20$2,564,2752,86142
San Francisco-Oakland-Fremont, CA33$2,548,8082,36144
Baltimore-Columbia-Towson, MD26$2,467,9642,79232
Las Vegas-Henderson-North Las Vegas, NV11$2,319,0002,266173
Atlanta-Sandy Springs-Roswell, GA54$2,283,4463,95823
Detroit-Warren-Dearborn, MI28$2,050,8642,32654
Miami-Fort Lauderdale-West Palm Beach, FL30$1,875,5552,66533

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 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 36902 nationally

Ambulatory Surgical Center accounts for 38% of payment for 36902 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1075.2%$50,303,25038%29,384275
Nephrology36918%$30,787,31423%45,892124
Vascular Surgery67533%$18,990,58014%25,99539
Interventional Radiology30415%$13,993,95111%22,76375
Diagnostic Radiology41120%$9,276,9427.1%17,22142
General Surgery1336.4%$4,015,2933.1%7,77558
Internal Medicine331.6%$2,915,9402.2%4,915149

Not listed: 14 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 36902 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