HCPCS 36903

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

Procedures Work RVU per service 6.39 (2024 fee schedule)

282
77th percentile among 6,471 codes billed · 2024
$26M
93rd percentile among 6,471 codes billed · 2024
8,627
65th percentile among 6,471 codes billed · 2024
20
40th percentile among 6,471 codes billed · 2024
84
50th percentile among 6,471 codes billed · 2024
-4.1%
Medicare payment on the code vs 2023; billers -2.4% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M$0$20M$40M2020: $49M paid20202021: $35M paid20212022: $28M paid20222023: $27M paid20232024: $26M paid2024$26M

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

Billers

02004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers202428202004002020: 425 providers20202021: 343 providers20212022: 291 providers20222023: 289 providers20232024: 282 providers2024282

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
2024282$25,748,428-4%8,62720846.39
2023289$26,857,626-5%8,83920836.39
2022291$28,212,271-20%9,27322806.39
2021343$35,233,207-28%10,88822836.39
2020425$48,618,590first year in data15,142231016.39

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
California43$4,561,0491,34019117
New York25$2,774,4418362388
New Jersey12$2,557,74778147148
Illinois13$1,752,09561220148
North Carolina11$1,547,60152726117
Texas21$1,514,5485001843
Florida17$1,431,4444912654
Virginia13$935,2902902045

Not listed: 29 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ28$3,654,5891,02027
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD11$2,213,80372549
Los Angeles-Long Beach-Anaheim, CA18$1,946,23458424

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 36903 nationally

Ambulatory Surgical Center accounts for 64% of payment for 36903 nationally in 2024, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center7828%$16,374,74964%2,99838
Nephrology7627%$3,432,63313%2,16228
Vascular Surgery5018%$2,475,1589.6%1,08422
Interventional Radiology4014%$1,475,7375.7%1,08227
Diagnostic Radiology155.3%$1,205,9894.7%72148

Not listed: 5 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 2024.

Top billers of 36903 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