HCPCS 36903

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

Procedures Work RVU per service 6.39 (2020 fee schedule)

425
79th percentile among 6,116 codes billed · 2020
$49M
96th percentile among 6,116 codes billed · 2020
15K
71st percentile among 6,116 codes billed · 2020
23
50th percentile among 6,116 codes billed · 2020
101
56th percentile among 6,116 codes billed · 2020

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$6,935,5341,75225101
New York32$5,902,0011,2813293
Texas49$5,183,3391,75023105
North Carolina15$3,611,40194640152
Florida35$3,054,5001,0452178
New Jersey13$2,632,66267634128
Virginia18$2,536,94573127106
Georgia29$2,310,6817311962
Illinois14$1,722,0554422179
Pennsylvania17$1,629,3376082971
Louisiana13$1,155,45452220122
Maryland11$1,062,9643313447
Alabama12$803,1883191860

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ39$7,397,9131,65730
Los Angeles-Long Beach-Anaheim, CA19$3,640,54892124
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD16$2,343,66971133
Washington-Arlington-Alexandria, DC-VA-MD-WV11$1,499,28538834
Houston-Pasadena-The Woodlands, TX16$1,330,29557126
Dallas-Fort Worth-Arlington, TX13$1,007,68532420
Atlanta-Sandy Springs-Roswell, GA16$916,93529116
Miami-Fort Lauderdale-West Palm Beach, FL12$762,51131019

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 36903 nationally

Ambulatory Surgical Center accounts for 35% of payment for 36903 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center7618%$17,216,12235%3,42845
Nephrology11527%$11,461,47524%4,20637
Interventional Radiology6014%$6,513,05213%2,53542
Vascular Surgery8420%$6,381,61313%2,15226
Diagnostic Radiology327.5%$3,775,5957.8%1,22238
General Surgery327.5%$1,459,8583.0%90328

Not listed: 6 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 2020.

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